Seth P. Levitz, M.D.

Seth P. Levitz, M.D.

Seth P. Levitz, M.D.

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Personal Bio

Treatment Philosophy

My philosophy on caring for my patients centers around finding the best treatment for each individual. Each patient receives the focus and dedication needed to treat their condition. I utilize all forms of conservative treatments prior to proceeding to surgical interventions. Our team will provide a comprehensive support system for each patient undergoing treatment. I strive to ensure that my patients has an understand their condition and the treatment options available to them. This approach will help to optimize treatment and recovery.

Personal Interests

I am married and have two beautiful children with whom I enjoy spending time. I am an avid golfer and enjoy spending time outside competing with friends on the course.

Conditions & Procedures

Conditions

Adult Hand, Adult Upper Extremity, Pediatric Hand, Pediatric Upper Extremity

Procedures

Hand Arthroscopy, Hand Minimally Invasive Techniques, Upper Extremity Minimally Invasive Techniques

General Information

Gender

Male

Affiliation

NorthShore Medical Group

Expertise

Hand Surgery

Academic Rank

Clinical Assistant Professor

Languages

English

Board Certified

Hand Surgery, Orthopaedic Surgery

Clinical Service

Education, Training & Fellowships

Medical School

University of Massachusetts Med School, 2003

Internship

Boston Medical Center, 2004

Residency

Boston Medical Center, 2008

Fellowship

Union Memorial Hospital-Curtis National Hand Center, 2009

Locations

A

NorthShore Medical Group

9650 Gross Point Rd.
Suite 2900
Skokie, IL 60076
847.866.7846 847.733.5060 fax Get Directions This location is wheelchair accessible.
B

NorthShore Medical Group

2180 Pfingsten Rd.
Suite 3100
Glenview, IL 60026
847.866.7846 866.954.5787 fax Get Directions This location is wheelchair accessible.

Insurance

Commercial Plans - Employer Sponsored
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Choice POS II
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Health Network Only
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Managed Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Network Options
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Open Access Aetna Select
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Open Access Managed Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Open Choice PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Savings Plus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Select
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Sub- Cofinity
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Sub- First Health
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Traditional Choice-Indemnity Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Whole Health Chicago (All Metal Tiers)
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Beechstreet PPO Network
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Advantage HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Choice Options
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred PPO Plans (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Select PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Select Value Choice
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Distinction Total Care Benefit Differentail
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Options (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue PPO (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Precision HMO Plans (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield BlueCare Direct (All Metal Tiers)
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SPECIALTY CARE
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Blue Cross Blue Shield BlueEdge HSA and BlueEdge HCA
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Blue Cross Blue Shield BluePrint
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Blue Cross Blue Shield Community Participating Option
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Blue Cross Blue Shield HMOI
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Blue Cross Blue Shield PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield PPO Value Choice
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Cigna Exclusive Provider Organization EPO
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Cigna Great West Healthcare (GWH) Cigna Network
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Cigna HMO
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Cigna HMO Open Access
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Cigna HMO Open Access POS
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Cigna HMO POS
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Cigna Medical PPO
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Cigna Medical Indemnity
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Cigna Medical LocalPlus
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Cigna Medical LocalPlus In-Network
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Cigna Medical Network
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Cigna Medical Network POS
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Cigna Medical Open Access Plus (OAP)
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Cigna Medical Open Access Plus (OAP) In-Network
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Cigna Medical Open Access POS
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Cofinity PPO (an Aetna Company)
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Coventry Consumer Choices (C3)
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Coventry HMO
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Coventry POS
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Coventry PPO
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Galaxy Health Network
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Health Alliance HMO, PPO, POS, POS-C
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HOSPITALS
 
 
 
Health Link HMO
If Unicare Affiliate logo present on card
PRIMARY CARE
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HOSPITALS
Health Link PPO
If Unicare Affiliate logo present on card
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Health Link-Open Access I, II, III
If Unicare Affiliate logo present on card
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Healthcare's Finest Network- FHN 10 & 20
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Healthcare's Finest Network- FHN Platinum
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Healthcare's Finest Network- HFN Community Health Connect
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Healthcare's Finest Network- HFN Community Health Connect Elite
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Healthcare's Finest Network- HFN Community Health Connect Premiere
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Healthcare's Finest Network- HFN-ID
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Humana Advocate Centered EPO
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Humana Advocate Centered HMO
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Humana Choice POS
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Humana Classic Plan (Traditional Indemnity Plan)
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Humana Coinsurance: NPOS
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Humana Coinsurance: PPO
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Humana Coinsurance:HMO
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Humana Condell Custom PPO
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Humana Copay: HMO
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Humana Copay: NPOS
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Humana Copay: PPO
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Humana COT National POS-Open Access
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Humana Edward- Elmhurst Value HMO
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Humana Edward-Elmhurst Advantage HSA/Choice PPO
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Humana High-deductible plans (HDHP) HMO
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Humana High-deductible plans (HDHP) National point of service (NPOS)
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Humana High-deductible plans (HDHP) PPO
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Humana Illinois Coordinated Care
Available In 2017
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Humana Level Funded Premium
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Humana NorthShore Complete Care
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Humana Self Funding: Administrative Services Only (ASO)
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Humana Self-Funding: Level Funded Premium (LFP)
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Humana Self-Funding: Minimum Premium (MP)
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Humana Self-Funding: Stop Loss Insurance
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Humana Simplicity (HMO, POS, PPO)
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Humana Total Health (100 or more employees)
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Multiplan/ PHCS- Health EOS Network
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SPECIALTY CARE
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Multiplan/ PHCS- MultiPlan Complementary
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Multiplan/ PHCS- MultiPlan Limited Benefit Plan
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SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- MultiPlan Practitioner Only
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- MultiPlan Shared Savings
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
Multiplan/ PHCS- PHCS Healthy Directions
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- PHCS Practitioner Only
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- PHCS Savility
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Multiplan/ PHCS- ValuePoint by MultiPlan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
NorthShore Employee Network
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Preferred Network Access
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SPECIALTY CARE
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Preferred Plan- HealthSmart Get Better
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SPECIALTY CARE
HOSPITALS
Preferred Plan PPO
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SPECIALTY CARE
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Stratose- National Preferred Provider Network
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SPECIALTY CARE
HOSPITALS
 
 
Three Rivers Provider PPO Network (TRPN)
PRIMARY CARE
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UniCare HMO
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SPECIALTY CARE
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UniCare HMO Performance Select
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SPECIALTY CARE
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Unicare PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
UniCare Travel Access
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United Healthcare Catalyst
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United Healthcare Choice
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United Healthcare Choice Plus
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United Healthcare Core
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United Healthcare Heritage
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United Healthcare Multi-Choice
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United Healthcare Navigate and Navigate Plus
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United Healthcare Options Non-Differential PPO
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United Healthcare Options PPO
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SPECIALTY CARE
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United Healthcare Tiered Benefits
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Exchange Plans
PRIMARY CARE
SPECIALTY CARE
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Aetna Whole Health Chicago (All Metal Tiers)
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Whole Health Chicago Bronze Deductible Only HSA Eligible
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Ambetter Balance Care 10+ Vision+ Adult Dental
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 1
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 1+ Vision+ Adult Dental
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 10
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 2
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 2+ Vision+ Adult Dental
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Essential Care 1
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Secure Care 1 w/ 3 Free PCP Visits
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Basic 103 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred PPO (Plan #'s 101-107; All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred Security PPO 100
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Precision HMO (Plan #'s 101-103; All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Premier 101 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield BlueCare Direct with Advocate (Plan #'s 101-103; All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Solution 102 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Coventry $15 Copay; Silver & Gold
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry Bronze $ 20 Copay
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Coventry Bronze $10 Copay Carelink St. John's
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Coventry Bronze $15 Copay Carelink St. John's
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Coventry Bronze Deductible Only HSA Eligible
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Harken Health - an Affiliate of United Healthcare
Verify physician participation and out of pocket expenses with Harken
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Health Alliance HMO (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Health Alliance POS (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Health Alliance PPO (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Humana Chicago HMOx (All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Land of Lincoln Health Traditional PPO
Plan Ending 9/30/16
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Compass (All Metal Tiers)
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Medicaid
PRIMARY CARE
SPECIALTY CARE
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Aetna Better Health FHP
PRIMARY CARE
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Aetna Better Health ICP
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SPECIALTY CARE
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Blue Cross Blue Shield Community FHP
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SPECIALTY CARE
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Blue Cross Blue Shield Community ICP
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Cigna HealthSpring ICP
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Community Care Alliance- ICP
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Family Health Network- FHP
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Harmony/WellCare FHP Plan
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Humana ICP
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Illinicare Family Health Plan (FHP/ACA)
PRIMARY CARE
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HOSPITALS
 
 
 
Illinicare ICP
Primary Care- Current Patients Only
PRIMARY CARE
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HOSPITALS
Illinois Department of Public Aid (IDPA)
PRIMARY CARE
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Meridian FHP/ACA Expansion
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Meridian ICP
PRIMARY CARE
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Molina ICP
PRIMARY CARE
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Next Level ACA/FHP
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Medicare Advantage Plans
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Aetna Medicare (SM) Plan (HMO)
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Aetna Medicare (SM) Plan (PPO)
PRIMARY CARE
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HOSPITALS
Aetna Medicare Advantage Group Plans
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SPECIALTY CARE
HOSPITALS
Aetna Medicare Connect Plus (PPO)/PPO Connect Plus
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SPECIALTY CARE
HOSPITALS
Aetna Medicare Standard Plan (PPO)/PPO Standard Plan
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Aetna Medicare Value Plan (HMO)/HMO Value
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HOSPITALS
Aetna Medicare Value Plan (PPO)/PPO Value Plan
PRIMARY CARE
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HOSPITALS
Aetna Traditional Choice Plan
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Blue Cross Blue Shield Medicare Advantage Basic HMO
PRIMARY CARE
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HOSPITALS
 
 
 
Blue Cross Blue Shield Medicare Advantage Basic Plus HMO-POS
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Blue Cross Blue Shield Medicare Advantage Choice Plus PPO
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Blue Cross Blue Shield Medicare Advantage Choice Premier PPO
PRIMARY CARE
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Cigna-HealthSpring Advantage HMO
PRIMARY CARE
SPECIALTY CARE
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Cigna-HealthSpring Premier HMO-POS
PRIMARY CARE
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HOSPITALS
Cigna-HealthSpring Primary HMO
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Cigna-HealthSpring TotalCare HMO-SNP
PRIMARY CARE
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Community Care Alliance Complete HMO-D-SNP
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Community Care Alliance HMO
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Harmony/WellCare Access (HMO-SNP)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare Choice (HMO-POS)
PRIMARY CARE
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Harmony/WellCare Health Plan
PRIMARY CARE
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Harmony/WellCare RX (HMO)
PRIMARY CARE
SPECIALTY CARE
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Harmony/WellCare Value (HMO-POS)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Harmony/WellCare-Medicare HMO Plans
PRIMARY CARE
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HOSPITALS
 
 
 
Harmony/WellCare-Medicare Special Needs Plans
PRIMARY CARE
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Humana Choice PPO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Community HMO Diabetes and Heart (SNP Program)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Gold Plus HMO
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana Gold Plus PFFS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Meridian Medicare Advantage
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Molina Medicare Advantage
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare - AARP Medicare Complete
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare AARP Medicare Complete Access
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare- AARP Medicare Complete Plus (HMO-POS)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
United Healthcare Medicare Advantage Focus
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
United Healthcare- Medicare Solutions/Medicare Advantage
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Medicare Medicaid Alignment Initiative (MMAI) Plans
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Better Health MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Community MLTSS/LTSS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Community MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Cigna-HealthSpring MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Humana MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Illinicare MLTSS/LTSS
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Illinicare MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Meridian MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Molina MMAI
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Commercial - Individual Plans
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Bronze Deductible Only HSA Eligible Savings Plus OAMC PD
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Savings Plus OAMC PD (All Metal Tiers)
Not Available In 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Whole Health Chicago (All Metal Tiers)
Not available for 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Aetna Whole Health Chicago Bronze Deductible Only HSA Eligible
Not available for 2017
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Ambetter Balanced Care 1
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 1+ Vision+ Dental
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 10
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 10+ Vision+ Dental
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 2
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Balanced Care 2+ Vision+ Dental
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Essential Care 1
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Ambetter Secure Care 1 w/ 3 Free PCP Visits
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred PPO (Plan #'s 101-107; All Metal Tiers)
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Choice Preferred Security PPO 100
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Cross Blue Premier 101 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Cross Blue Shield Basic 103 Multi-State Plan
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
 
 
 
Blue Cross Blue Shield Blue Precision HMO (Plan #'s 101-103; All Metal Tiers)
Verify PCP Participation
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield Blue Precision Platinum HMO 104
Verify PCP Participation
PRIMARY CARE
SPECIALTY CARE
HOSPITALS
Blue Cross Blue Shield BlueCare Direct with Advocate (Plan #'s 101-103; All Metal Tiers)
PRIMARY CARE
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Publications

  • Risk factors for complications following open reduction internal fixation of distal radius fractures.

    The Journal of hand surgery 2014 Dec

    Authors: Jiang JJ, Phillips CS, Levitz SP, Benson LS
    Abstract
    A national surgical database was used to determine risk factors for complications in patients undergoing open reduction internal fixation (ORIF) for distal radius fractures.
    The American College of Surgeons National Surgical Quality Improvement Program database for the 2006-2012 years was queried to identify all patients who underwent an ORIF of a distal radius fracture based on Current Procedural Terminology codes 25607, 25608, or 25609. The database is a statistically representative sample of prospectively collected perioperative surgical data from hospitals primarily in the United States. Demographics, comorbidities, preoperative laboratory values, and 30-day complications were compared between the patient groups with and without a postoperative complication. Multivariate analysis was performed to identify patient characteristics and comorbidities that were independently associated with early postoperative complications.
    This retrospective analysis identified 3,003 patients who underwent an ORIF of the distal radius over 7 years. The number of patients with a complication within 30 days after surgery was 62 (2%), totaling 90 complications. Incidence of return to the operative room for the entire study population was 1.1%. Multivariate analysis, adjusting for confounding variables, showed that patients with a complication were more likely to have hypertension, congestive heart failure, preoperative chemotherapy or radiotherapy, longer operating time, and manifest preoperative impairment in independent living.
    Approximately 2% of patients sustained a complication within 30 days following ORIF of a distal radius fracture. Recognition of the risk factors may help avoid complications in the identified high-risk patients.
    Prognostic II.
    PMID: 25447002 [PubMed - as supplied by publisher]
  • Effect of anterior versus posterior in situ decompression on ulnar nerve subluxation.

    American journal of orthopedics (Belle Mead, N.J.) 2013 Jun

    Authors: Hsu PA, Hsu AR, Sutter EG, Levitz SP, Rose DM, Segalman KA, Lee SK
    Abstract
    We sought to determine the effect anterior versus posterior in situ decompression with 360° external neurolysis on ulnar nerve subluxation. Ten cadaveric specimens were used, with anterior release performed on 5 specimens and posterior release the other 5 specimens. Each specimen was released for 4 cm centered over the cubital tunnel followed by 12 cm, 20 cm, and 20 cm with 360° external neurolysis. After release, the elbow was brought through a range of motion from 0° to 140° of flexion. Compared with posterior release, anterior release demonstrated significantly more total subluxation of the ulnar nerve for all release types from 80° to 120° of flexion (P<.05). At 140° of flexion, the 4-cm release, the 12-cm release, and the 20-cm release with 360° external neurolysis also demonstrated significantly more total subluxation with anterior release (P<.05). Ulnar nerve subluxation was significantly lower with posterior release, compared with anterior release for limited and complete in situ decompression.
    PMID: 23805419 [PubMed - as supplied by publisher]
  • A comparison of acetate and digital templating for total knee arthroplasty.

    Clinical orthopaedics and related research 2007 Nov

    Authors: Specht LM, Levitz S, Iorio R, Healy WL, Tilzey JF
    Abstract
    Accurate preoperative templating can facilitate precise, efficient, and reproducible total knee arthroplasty. We determined whether acetate templating accurately predicted knee implants used and compared the accuracy of digital templating. Preoperative planning was performed on 50 consecutive preoperative radiographs during 2005. After digital images were obtained, appropriately magnified analog films were printed. Four arthroplasty surgeons and one resident performed acetate templating and one arthroplasty surgeon trained in the technique performed digital templating. Acetate and digital templating accurately predicted the size of the implanted component to within one size, 91% versus 93%, respectively. The digital technique was more accurate than acetate for tibial component size. Acetate and digital templating did not differ in predicting femoral component size. Our data suggest digital templating is at least as accurate as traditional acetate templating for predicting knee implant sizing.
    Level II, diagnostic study. See the Guidelines for Authors for a complete description of levels of evidence.
    PMID: 18062050 [PubMed - as supplied by publisher]
  • Both scanning plane and observer affect measurements of scaphoid deformity.

    The Journal of hand surgery 2005 Jul

    Authors: Ring D, Patterson JD, Levitz S, Wang C, Jupiter JB
    Abstract
    The influence of angular deformity of the scaphoid on wrist function and arthrosis is debated and the reliability of the described quantitative measurements of deformity has been questioned. We hypothesized that the inherent imprecision with which computed tomography scanning planes are selected introduces another source of variability in measurements of scaphoid deformity, further diminishing their reliability.
    Sagittal plane images of 15 computed tomograms of normal scaphoids were evaluated in 3 different reconstruction planes. Four observers measured the lateral intrascaphoid angle, the dorsal cortical angle, and the height-to-length ratio of the 45 images in random order and then measured them again in a distinct random order 2 weeks later. The variability of each observer's measurements (intraobserver reliability) was evaluated with Pearson correlation coefficients. The agreement of the measurements made by the 4 observers (interobserver reliability) and the agreement of the measurements of the same bone in different reconstruction planes (interplane reliability) were evaluated using interclass correlation coefficients.
    The intraobserver reliability was poor for 27 of 36 comparisons. The interobserver reliability of the dorsal cortical angle and the intrascaphoid angle was poor for all reconstruction planes. The interobserver reliability of the height-to-length ratio was good for 2 planes and poor for the third plane. The interplane reliability was poor for 7 of 12 comparisons, with no single measurement technique remaining consistent for all observers across reconstruction planes.
    Quantitative measurements of scaphoid deformity have very limited reliability for individual observers, between different observers, and depending on the plane in which the image of the scaphoid is produced. Even the most reliable measure of deformity (height-to-length ratio) was not consistent between reconstruction planes. Unless more reliable scanning and measurement techniques are developed ideas about the effect of scaphoid deformity on wrist function will remain to a large degree speculative.
    PMID: 16039360 [PubMed - as supplied by publisher]
  • Retrograde (volar) scaphoid screw insertion-a quantitative computed tomographic analysis.

    The Journal of hand surgery 2005 May

    Authors: Levitz S, Ring D
    Abstract
    The benefit of placing the screw tip in the center of the proximal pole of the scaphoid is supported by clinical and biomechanical data. In this investigation we attempted to quantify guidelines for optimal screw insertion into the scaphoid through a volar percutaneous approach using measurements from computed tomography images.
    The parameters of safe insertion of a 3.0-mm cannulated-headed screw (Synthes, Paoli, PA) using a volar (retrograde) insertion technique were measured using quantitative computer analysis of computed tomography images of 15 unfractured scaphoids. In the coronal plane the average screw length for the most radial, most ulnar, and intermediate paths for safe screw insertion and the radial clearance of the trapezium were measured. In the sagittal planes defined by these screw paths the length of the screw, the length and depth of the concavity on the volar surface of the scaphoid, and the distance between a line corresponding to the center of the screw path and the volar surface of the trapezium were measured.
    Significant differences (1-way analysis of variance) were measured for the average screw lengths for different screw insertion paths in both the coronal and sagittal planes (with the shortest screw lengths observed for the most ulnar starting points) and for the volar clearance of the trapezium, which was greater for a radial screw path. The intermediate screw path-a measure of optimal screw insertion-passed radial to the radial edge of the trapezium in 10 of 15 patients (67%) with an average clearance of 3.9 mm (range, 1.1-7.9 mm) in those patients. The depth of the concavity on the volar surface of the scaphoid averaged 1.6, 2.0, and 2.5 mm in the 3 sagittal planes.
    Screw fixation of the scaphoid through a volar approach is hindered by the trapezium, risks cutout through the concavity in the volar surface of the scaphoid, and is most likely to violate the dorsoulnar aspect of the radiocarpal articular surface of the scaphoid if the screw is too long. A relatively radial starting point facilitates placement of the screw tip in the center of the proximal pole and helps avoid the trapezium but drilling or partial excision of the trapezium often may be necessary for optimal screw placement.
    PMID: 15925165 [PubMed - as supplied by publisher]