Reporting Instructions

Access Family Health Society
Adventist LaGrange Memorial Hosptial
Advocate Christ Hospital and Medical Center (ACMC)
Circle Family Care
Dr. Richardson’s Neighborhood Family Practice
John H. Stroger, Jr. Hospital (formerly Cook County Hospital)
Henry Cordero, MD
Hinsdale Family Medicine Center
Golf Mill Medical Center
Gottlieb Memorial Hospital
Advocate Illinois Masonic/Ravenswood
John Deere Medical Group of the Quad Cities, P.C.
LaGrange Clinic, MacNeal Physicians Group
Lutheran General Hospital–Nesset Center
MacNeal Hospital
MetroSouth Medical Center
Naperbrook Medical Center
Jackie Olivo, MD
Praire Glen Family Medicine, S.C.
Resurrection Family Practice Center
Sheridan Medical Center
St. Elizabeth’s Hospital
South Care Family Practice
Donald Szachowicz, MD
Resurrection Health Care-St. Joseph’s Hospital
Waveland Medical Center
UIC Family Medicine
Mile Square (University of Illinois at Chicago Affiliate)

Access Family Health Society
Medical Director: Cynthia Thomas, MD
Preceptor: Kevin Gordon, DO
Address:

152 W. 14th Place
Chicago Heights, IL 60411

Arrive to clinic the Tuesday after orientation prepared with your white coat and
school ID by 8:00am sharp. Dr. Gordon will give you your schedule and review
logistics with you on that day.

Adventist LaGrange Memorial Hosptial
Director: Daphne Tessalee, MD
Contact: Nancy Mandra, Clerkship Coordinator
Email: [email protected]
Address:
Family Medicine Residency
5101 S. Willow Springs Rd.
LaGrange, IL 60525

Phone: (708) 245-8976

Contact Nancy Mandra the week prior to reporting to your first day of clinic for
further instructions. Please be prepared with lab coat and school ID when you
report to clinic.

Advocate Christ Hospital and Medical Center (ACMC)
Family Medicine Clerkship
Director: Stephen G. Bennett, M.D.
Time: 8:00am
Address:
4140 Southwest Highway
Hometown, Illinois 60456

Website: http://www.advocatehealth.com/
Contact: Jeanette Gooden
Email: [email protected]
Phone: (708) 857-5902
Fax: (708) 422-9535
Immunization Requirement – This requirement must be in place in UIC Office of Student affairs at least six (6) weeks before the start of the clerkship. Failure to submit all complete forms will result in delaying the start of your clerkship.

You have been matched with Advocate Christ Medical Center for the Family Medicine clerkship. Well in advance of the clerkship, please fill out the Advocate Christ Medical Center Medical Student Information Form and Immunization Clearance Form (click for online form — also available through UIC Office of Student Affairs) and return them to UIC Office of student Affairs. UIC Office of Student Affairs will submit all completed forms 2 weeks before the clerkship start date to Jeanette Gooden, Secretary, Advocate Christ Medical Center, Family Medicine Center, 4140 Southwest Highway, Hometown, Illinois 60456. You may contact Jeanette at 708-857-5902 – Fax: 708-422-9535 to confirm that all paperwork has been received. Please note that these forms must be on file at Advocate Christ Medical Center, Family Medicine Center before the clerkship begins. If these forms are not on file you will not be able to start the Family Medicine Clerkship.

On the first Tuesday of the rotation at 8:00a.m, please report to Advocate Christ Hospital Security, located in the north entrance office building (next to Advocate Hope Children’s Hospital) for an ID badge. You will be emailed the ID badge authorization form from Jeanette for your ID badge. (ID photos are taken 24 hours, 7 days a week by security at Advocate Christ). Then you are to report to the Family Medicine Center clinic at 4140 Southwest Highway, Hometown, Illinois 60456. Once there ask for Jeanette, she will orient you to the clinic. Come prepared (hospital ID, equipment and dress) to work in the clinic. If you have any questions, please contact Jeanette Gooden at (708) 857-5902.

Please note: All rotating medical students that will be doing a rotation at Advocate Christ Medical Center will have to park in lot 2, 3 or 4 (those lots are open in the morning). You will be provided with a parking transponder to gain access to the parking lots from Jeanette once you are oriented (Not Security). You will be required to give Jeanette a $25.00 deposit in the form of a check, made payable to Advocate Christ Medical Center for the transponder. The check will be held until the end of the clerkship and the transponder has been returned. The $25.00 deposit will only be cashed by Advocate Christ Medial Center, if the transponder is not returned at the end of the rotation.

Circle Family Care
Jon Beran, MD
4909 W. Division, 3rd Fl. (main clinic)
Chicago, IL 60651
Phone: (773) 921-8100
Fax: (773) 921-2530
E-mail: [email protected]
Website: http://www.xsellnewmedia.com/cf/commun.htm

You have been matched to Circle Family Care for your Family Medicine Rotation. Well in advance of your start date please call Dr. Jon Beran to set your clinic schedule. He can be reached at (773) 921-8100.

Dr. Richardson’s Neighborhood Family Practice
Fred Richardson, Jr., MD
310 Madison Street
Oak Park, IL 60302
Phone: (708) 524-0123
Fax: (708) 524-1429
E-mail: [email protected]
Website: http://www.drrichardsonsnfp.org/index.html

You have been matched to Dr. Richardson’s Neighborhood Family Practice for your Family Medicine Rotation. Well in advance of your start date please call Dr. Fred Richardson or Julie Richardson to set your clinic schedule. They can be reached at (708) 524-0123 or by email.

John H. Stroger, Jr. Hospital (formerly Cook County Hospital)
Alice Daniels, MD
Provident Hospital of Cook County
500 E. 51st Street, 7th Floor
Chicago, IL 60615
Contact: Yvonne Bustamante
Phone: (773) 483-5016
Pager: (312) 839-0457
Email: [email protected]

Englewood Health Clinic
Contact: Lydia Montanez
1135 W. 69th Street
Chicago, IL 60621
Phone: (773) 483-5011

Jorge Prieto Family Health Center
2424 S. Pulaski Rd.
Chicago, IL 60623

Note: Students scheduled at John H. Stroger, Jr., Hospital of Cook County will be sent to Englewood Health Clinics unless student is bilingual in Spanish/English.

Student should contact Dr. Alice Daniels for site assignment two weeks before the clerkship begins. Please indicate if you have a Spanish speaking site preference. Report to clinic on the first Tuesday of the clerkship at 8:50am. Be prepared with UIC Student ID, clean white coat, and stethoscope. Students should have their health certificate submitted to the department of Family Medicine at assigned hospital.

Henry Cordero, MD
5310 N. Sheridan Rd.
Chicago, IL 60640
Phone: (773) 769-8165

You have been matched to Henry Cordero, MD for your Family Medicine Rotation. Well in advance of your start date please call Dr. Cordero to set your clinic schedule. He can be reached at (773) 769-8165.

Hinsdale Family Medicine Center
Director: Leslie Sleuwen
Hinsdale Family Practice Residency
135 N. Oak St.
Hinsdale, IL 60521
Contact: Haydee Velasco
E-mail: [email protected]
Phone: (630) 856-8944
Fax: (630) 856-8923
Website: http://www.keepingyouwell.com/ahh/CareAndServices/Residency/MedicalStudentClerkships.aspx

You have been matched to Hinsdale Hospital for you Family Medicine Rotation. At least 2 weeks before the clerkship call and ask for the Residency coordinator for that site. You will need to provide her with some brief information so that an information packet can be sent to you. Please send your certification of immunization to Hepatitis B (either by vaccine or titer) directly to Dept. of Family Practice, Hinsdale Family Practice Residency Program, Attention: Haydee Velasco 135 N. Oak St., Hinsdale, IL 60521.

On the first clinic day of your rotation, you should report to the Hinsdale Family Practice Residency at 8:30 a.m. Our office is located at 135. N. Oak, Hinsdale, in the small church building across the street from the hospital in the basement (Room 110). Please park anywhere in the East-parking garage except one of the spaces marked “HFMC Patient Parking”. After orientation and a brief tour of the hospital, you will begin your rotation.

We ask for $25.00 deposits in the form of a personal check made payable to Hinsdale Family Practice Residency. You can give us the check on your first day at orientation. This deposit is for a Medical Student ID Card and Parking Tag and will be given back to you after you return the ID card and Parking Tag on the last clinic day of your rotation. You will also need to complete a temporary parking sticker form for our Security Dept. Have your car make, model & license plate information ready for completion of this form.

Golf Mill Medical Center
Edward Hernaez, MD
7124 W. Touhy Avenue
Niles, IL 60714
Email: [email protected]
Phone: (847) 983-4195

You have been matched to Golf Mill Medical Center for your Family Medicine Rotation. Well in advance of your start date please contact Dr. Hernaez to set your clinic schedule.

Gottlieb Memorial Hospital
Thomas J. James, MD
675 W. North Ave. Suite 206
Melrose Park, IL 60160
Contact: Doritha Collins
Email: [email protected]
Phone: (708) 681-3200 ext. 5082
Fax: (708) 681-7683
Website: http://www.gottliebhospital.org

You have been matched to Gottleib Memorial Hospital for your Family Medicine Rotation. Well in advance of your start date please call Thomas J. James, MD to set your clinic schedule. Dr. James can be reached at 708-681-7900.

Advocate Illinois Masonic/Ravenswood
Jose Elizondo, MD and Rick Guthmann, MD
Family Practice Residency Program
4600 N. Ravenswood Ave.
Chicago, IL 60640
Contact: Teresa Johnson
Phone: (773) 296-7059
Fax: (773) 296-8020
Email: [email protected]
Website: http://www.advocatehealth.com/FamilyPracticeCenterRavenswood

You have been matched to Illinois Masonic Hospital Medical Center for your Family Medicine Rotation. In advance of the clerkship, please call Teresa Johnson for additional reporting instructions and paperwork required.

Students must submit paperwork at least two weeks before the start of their rotation. This policy is available on our website at: http://www.advocatehealth.com/body.cfm?id=1113 .

Rotations will be cancelled if forms and information are not complete and approved a minimum of two (2) weeks prior to the start of the rotation.

Information can be submitted via e-mail, fax, or postal service to the rotating location (See Site Specific Information). Students must follow-up with the coordinator to ensure paperwork has been received and processed.

Please complete the online forms prior to the rotation.

Link to the Medical Student Requirements prior to rotation:
http://www.advocatehealth.com/body.cfm?id=1113

John Deere Medical Group of the Quad Cities, P.C.
Charlotte Koenig MD & Ilesh Kurani MD
4101 John Deere Road
Moline, IL 61265
Contact: Roxanne Paper
Email: [email protected]
Phone: (309) 765-1660 (direct)
Fax: (309) 756-1600

You have been matched to John Deere Medical Group for your Family Medicine Rotation. Well in advance of your start date please call Roxanne Paper to set your clinic schedule. She can be reached at (309) 765-1660

LaGrange Clinic, MacNeal Physicians Group
Marina Khusid, MD, ND, MSA
47 S. 6th Avenue
LaGrange, IL 60525
Phone: (708) 354-4900
Fax: (708) 482-3324

Website:
http://macnealphysiciansgroup.com/Specialties/IntegrativeFamilyMedicine.aspx

You have been matched to Dr. Marina Khusid for your Family Medicine Rotation.
Well in advance of your start date please call or email Dr. Khusid to set your
clinic schedule. Your clinic hours will be: Tuesday & Thursday, 7:30am-3:30pm.
Wednesday: 9am-5pm. Friday, 7:30am-1:30pm and 3rd Saturday of every month, 8am-12:30pm.

Lutheran General Hospital–Nesset Center
Tamar Perlow, MD, MPH
Dept. of Family Practice
1775 Ballard Rd.
Park Ridge, IL 60068
Contact: Vehida Spiodic
Phone: (847) 723-6479
Fax: (847) 723-5615
Email : [email protected]
Website: http://www.advocatehealth.com/body.cfm?id=1113

You have been matched to Advocate Lutheran General Hospital for your Family Medicine Rotation. Well in advance of the clerkship, the Office of Student Affairs will forward the required student health records to the Department of Medical Education. On the first Tuesday of the clerkship at 7:45 a.m., report to Lutheran General Hospital, Dept. of Family Medicine, 6th Floor South Building at 1775 Dempster St., Park Ridge, IL and ask for Vehida Spiodic. Come prepared (equipment and dress) to work in the clinic.

1. Have a nurse or physician fill out both sides of the Lutheran General Hospital Student Medical Immunization Form (available at the COM Dean’s Office).

TB test must be within one year of rotation end-date (i.e. rotation end date=6/30/06 then, TB test must have been done after 6/30/05). If positive, chest x-ray results must be submitted.

2. Complete the Lutheran General Hospital Medical Student Information Form. (available at the COM Dean’s Office).

3. All completed documentation should be forwarded directly to:
Pam
Department of Education, 8 South
Lutheran General Hospital
1775 Dempster Street
Park Ridge, IL 60068-1174

MacNeal Hospital
Marcia Hugen, MD
Dept. of Family Practice
3231 S. Euclid Ave.
Berwyn, IL 60402
Contact: Kristy Sliwinsky
Email: [email protected]
Phone: (708) 783-6586
Fax: (708) 783-3656
Website: http://www.macneal.com/Home.aspx

You have been matched to MacNeal Hospital for your Family Medicine Rotation.
Well in advance of your start date please call Kristy Sliwinsky to set your clinic
schedule. She can be reach at (708) 783-3913.

MetroSouth Medical Center
Ume Khan, MD
Metro Doctor’s Pavilion, Suite #4D
2310 York Street
Blue Island, IL 60406
Phone: (708) 597-2000, ext: 4110
Email: [email protected]
Contact: Laura Wirth
Phone: (708) 597-2000, ext: 5610
Email: [email protected]

Please contact Laura Wirth two weeks before starting the clerkship for further
instructions. Your clinic hours will be: Tuesday & Thursday: Clinic @ MetroSouth
Medical Center, 8am-4pm. Wednesday and Friday: Urgent Care @ Norwegian
American Hospital (1044 North Francisco Avenue, Chicago, IL 60622), 9am-
5pm.

Naperbrook Medical Center
Meher Medavaram, MD.and Srinivas Surabhi, MD
686 W. Boughton Rd.
Bolingbrook, IL 60440
Contact: Ousha- practice manager
Phone: (630) 378-1234
Fax: (630) 378-1155

You have been matched to Naperbrook Medical Center for your Family Medicine Rotation. Well in advance of your start date please call Meher Medavaram, MD to set you your clinic schedule. Dr. Medavaram can be reach at (630) 378-1234.

Jackie Olivo, MD
2412 W. Fullerton Ave.
Chicago, IL 60647
Phone: (312) 716-7281
Email: [email protected]

Please contact Dr. Olivo the week before starting the clerkship for further instruction. Student must be bilingual in Spanish/English.
Your clinic hours will be: Tuesday, Wednesday, and Friday, 12:00pm-7:00pm and Saturday 9:00am-1:00pm

Praire Glen Family Medicine, S.C.
Mark Drexler, MD
2550 Compass Road
Units A and B
Glenview, IL 60026
Phone: (847) 904-7800
Fax: (847) 904-7122

You have been matched to Praire Glen Family Medicine, S.C. for your Family Medicine Rotation. Well in advance of your start date please call Mark Drexler, MD. to set your clinic schedule. Dr. Mark Drexler, can be reached at (847) 904-7800.

Resurrection Family Practice Center
Colin Kao, DO
7447 W. Talcott Rd., Suite 182
Chicago, IL 60631
Contact: Jaclyn Kelly
Phone: (773) 990-7631
Fax: (773) 594-7975
Email: [email protected]

You have been matched to Resurrection Hospital for your Family Medicine Rotation. On the first Tuesday of the clerkship at 9:00 am, report to the Family Practice Center (1st Floor) at the Professional Building attached to Resurrection Hospital (7447 Talcott Rd., Chicago, IL) and ask for Jaclyn Kelly. Come prepared (equipment and dress) to work in the clinic.

Sheridan Medical Center
Dr. Ayoade Akere
840 W. Irving Park Road
Chicago, IL 60613
and
5500 S. Damen Ave.
Chicago, IL 60630
Email: [email protected]

You have been matched at Sheridan Medical Center with Dr. Ayoade Akere. You will be rotating at both of his locations. Please EMAIL Dr. Akere one week before your begin the rotation to plan a time and location to meet to discuss your schedule.

St. Elizabeth’s Hospital
Prime Care Community Health Center
Michael Friedman, MD
Dept. of Family Practice
1431 N. Western Ave., Suite 406
Chicago, IL 60622
Contact: Vicky Penny
Phone: (312) 770-3081
Fax: (312) 633-5936
Pager: (312) 250-0189
Website: http://reshealth.org/education/smemcfamily/primecare.cfm

You have been matched to St. Elizabeth’s Hospital for your Family Medicine Rotation. Well in advance of your start date please call Vicky Penny to set your clinic schedule. Proof of immunizations is required in advance of the clerkship.

South Care Family Practice
Rafael Vargas, MD
10627 S. Pulaski Road
Chicago, IL 60459
Email: [email protected]
Phone: (773) 779-9300
Fax: (773) 779-5768

Note: Student will rotate at Little Company of Mary. You have been matched to Southcare Family Practice for your Family Medicine Rotation. Well in advance of your start date please call Rafael Vargas, MD to set your clinic schedule. Dr. Vargas can be reach at (773) 779.9300. An application for clinical rotations from the Little Company of Mary Hospital is mandatory and it should be completed by the student and returned to LeAmye Howard, M3 Academic Advisor, in the Office of Student Affairs at least four (4) weeks before the clerkship start date.

Donald Szachowicz, MD
Des Plaines Family Medicine.
691 Lee St.
Des Plaines, IL 60016
Phone: (847) 803-0500

You have been matched to Donald Szachowicz, MD for your Family Medicine Rotation. Well in advance of your start date please call Dr. Szachowicz to set your clinic schedule. Dr. Szachowicz can be reach at (847) 803.0500.

Resurrection Health Care-St. Joseph’s Hospital
Seton Family Health Center
711 W. North Ave.
Chicago IL 60610
Phone: (773) 337-1982

Contact: Nancy J. Balzano
Phone: (773) 665-3300
Fax: (773) 665-3228
Website: http://www.reshealth.org/sub_sjh/seton/default.cfm

GENERAL INSTRUCTIONS FOR REPORTING TUESDAY MORNING
Where to Park:
Seton: There is a free lot adjacent to the Clinic
Hospital: You may park in the Hospital Garage for $2.50. You must take your parking ticket and student ID to the security desk outside the Emergency Room and they will validate your exit ticket. PLEASE ONLY PARK IN THE AREA FOR HOSPITAL PERSONNEL AND NOT IN THE DOCTOR AREAS

Where to report:
On your first day – Tuesday – report to Dr. Renata Gazzi, 9 am at Seton Family Health Center. Check in at the front desk and ask for her. She will be in the Doctors’ Library. You will be given a tour of the facility and a “student guide” with all the details about your rotation.

We look forward to seeing you and extend our best wishes for an enjoyable and successful rotation

There are educational conferences at the Hospital 12th floor Family Medicine Conference Room (across from the Library) from 1-4 pm. You are welcomed to attend. Students can use their school ID badges for identification. These should be worn at all times and can be used to purchase meals at employee rates in the hospital cafeteria.

Phone Numbers:
312-337-1982 – Seton Clinic – General Number
773-665-3300 – Nancy Balzano, Admin. Asst., St. Joseph Manor Bldg 1st Floor
773-665-3478 – Family Medicine Conference Room on the 12th floor of hospital
773-665-3885 – Dr. Garcia’s Office (Pager 312-707-5231)

SETON FACULTY
Dr. James Nee, Director
Dr. Jean Engelkemeir
Dr. Tatiana Batista
Dr. Renata Gazzi (pager 312-707-0214)
Dr. Laura Wally
Dr. Tanya Richardson
Dr. Rhonda Faulkner

Waveland Medical Center
Daniel Shin, MD
840 W. Irving Park Rd., Suite 201
Chicago, Illinois 60613
Phone: (773) 935-4470
Fax: (773) 935-5598
Website: http://www.wavelandmedical.com/

You have been matched to Waveland Medical Center for your Family Medicine Rotation. Well in advance of your start date please call Daniel Shin, MD to set your clinic schedule. Dr. Shin can be reach at (773) 935-4470.

UIC Family Medicine
Predoctoral Director: Rik Stringham, MD
University Village Family Medicine Center-UV
722 West Maxwell Street, Suite 235
Chicago, IL 60607

Family Medicine Center-OCC
1801 W. Taylor St., Suite 2A
Chicago, IL 60612
Phone: (312) 413-8493
Fax: (312) 996-2579
Websites: http://www.uic.edu/depts/mcfp/ & http://uillinoismedcenter.org/content.cfm/family

You have been matched to the University Village for your Family Medicine Rotation. You will receive your clinic schedule from Dr. Shah at the Orientation and not before that. On the first Tuesday of the clerkship, report to your assigned clinic 10:00am and ask for Laura Landmeier or Rita Smaw before proceeding.

Mile Square (University of Illinois at Chicago Affiliate)
Javette Orgain, MD
Mile Square Health Clinic, M/C 698
2045 W. Washington, St
Chicago, IL 60612
Phone: (312) 413-8493
Fax: (312) 996-2579

Websites: https://medicine.uic.edu/cms/One.aspx?portalId=506244&pageId=4253574

You will receive your clinic schedule from Dr. Stringham at the Orientation and not before that. You will report to clinic on Tuesday at 9:00am. Note: Students scheduled at Mile Square may be traveling to other teaching sites affiliated with their educational program and an automobile is mandatory when rotating through this service.

Near West Family Center (Mile Square Affiliate)
2310 W. Roosevelt Rd
Chicago, IL 60608
Phone: (312) 413-7425

BOTY (Mile Square Affiliate)
4630 S. Bishop
Chicago, IL 60609
Dr. Glenda Rios (Monday, Tuesday, Friday am)

South Shore Clinic (Mile Square Affiliate)
7131 South Jeffery Boulevard
Chicago, Illinois 60649
Phone: (773) 256-0526
Fax: (773) 363-5493