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cook county hospital bariatric surgery

Dacia A. Pickering, MD Private Practice You may want to consider surgery if: How do you prepare for Bariatric Surgery? John H. Stroger, Jr. Hospital of Cook County is a Acute Care Hospital with 460 Inpatient Beds in Chicago, IL. The following bus lines serve John H. Stroger, Jr. Hospital: Train Stations For more information or to schedule an appointment with a bariatric endoscopy physician, please call Barnes-Jewish West County Hospital toll-free at 844-542-9378. Lukasz Swistun, MD Plastic and Reconstructive Surgery Fellowship, University of Utah, Salt Lake City, Wen-Ting Jeffrey Chiao, MD Minimally Invasive and Bariatric Fellowship University of Pittsburgh 2020 Cook County Health. He has presented as many local and national conferences on various topics relating to general surgery and bariatric surgery. Cook County Healths Comprehensive Breast Program. Sinai Hospital, New York, Ezzi, Mohammed Y. Sleeve gastrectomy is performed laparoscopically and can be a permanent surgical solution to manage weight. Cook County Reopening Plan. Third Party materials included herein protected under copyright law. Information will update every 5 minutes. Currently John H Stroger Jr Hospital. Phyllis E. Napoles, MD Transplant Fellowship, UC San Diego, CA UI Health Bariatric Surgery | Chicago IL We use state-of-the-art techniques to treat birth defects of the heart and its large arteries that are identified in adults. Cook County Health estimates hospitals throughout the CountyCare network performed about 210 surgeries in the four areas last year. Most patients lose weight quickly and continue to lose for 18 to 24 months after the procedure. Gastric bypass surgery: Gastric bypass and other weight-loss surgeries make changes to your digestive system to help you lose weight by limiting how much you can eat or by reducing the absorption of nutrients, or both. The CHRISTUS Southeast Texas Bariatric Center is home to two exceptional surgeons, Kevin Dean, M.D. A spokesman for the Illinois Department of Healthcare and Family Services, which oversees private Medicaid insurers, including CountyCare, would not specifically comment on CountyCare's surgery plans. and medical director, Jerome Schrapps, M.D., who have together performed over 4,000 bariatric surgeries and counting. Request an information session with an Orlando Health specialist. All Rights Reserved. Our team carries out all types of colon and rectal operations including, Were also experienced in minimally invasive surgery of the colon, rectum, anus and small bowel for malignant disease, as well as benign conditions such as inflammatory bowel disease (Ulcerative colitis and Crohns disease), complex anorectal surgery, and complex. CountyCare initially wanted to funnel the majority of these surgeries to Stroger, but later walked that plan back. St. Louis, Luay D.F. 21+ The 450-bed teaching hospital serves as the hub for Cook County Health for delivery of specialty and sub-specialty care. Cook County Hospital highlights both the building's stunning architecture and its historyfrom its first incarnation in the 1830s to . Job in Chicago - Cook County - IL Illinois - USA, 60602. With the potential for greater weight loss and less complication than gastric bypass sleeve gastrectomy is now offered at ORMC. Michael Zenn, CEO of the University of Illinois Hospital and Clinics, which is anchored just a few blocks from Stroger, said it's not unusual for insurance companies to steer procedures to certain hospitals. Our patients share their success - and happiness - after making the decision to have bariatric surgery at Crozer Health . The American College of Surgeons website is not compatible with Internet Explorer 11, IE 11. Courtesy of Johnny Pippins and Fortepan Iowa/WBEZ Chicago Anjali R. Thawani, MD Critical Care Fellowship, Cook County Hospital, Chicago IL, Sean M. Garrean, MD Colon and Rectal Surgery, North Shore University- Long Island Jewish Health System Orthognathic Surgery Outpatient Anesthesia Pre-prosthetic Surgery Removal of Third Molars (Wisdom Teeth) Temporomandibular Joint Disorders Oral and maxillofacial patients are seen at John H. Stroger Jr. Hospital of Cook County outpatient clinic. In gastric bypass, the surgeon creates a small pouch using the upper part of the stomach. She has been in practice more than 20 years. This medical facility offers procedures at prices which are below average for the market. To be successful, your surgery must be followed by lifestyle changes in eating and behavior. June 3, 2022 Antioch Missionary Baptist Church is using a funeral home for weekly services as it makes plans to rise from the ashes. The Intestinal Rehabilitation and Transplant Center. CountyCare members who want or need certain types of surgeries in four areas gynecologic oncology, pancreatic/liver, colorectal and vascular would need to have them done at the county's flagship John H. Stroger, Jr. Hospital on the Near West Side, or at a hospital in the CountyCare network that meets specific criteria, such as cost and quality. John H. Stroger, Jr. Cook County Hospital Garage 1800 W. Polk St. Juvenile Detention Center Garage 1101 S. Hamilton St. University of Illinois Medical Center Garage 1100 S. Wood St. After your surgery, well give you the tools and teach you how to use them but your success depends on you. The stomach is restricted by dividing it vertically and removing a large portion of the stomach. With Bariatric Surgery estimated weight loss is approximately 40-50% of ones excess weight, which may be achieved over two years. Vint N. Varu, MD Vascular Surgery Fellowship, Stanford University, Stanford, CA, Grace H. Chang, MD Critical Care Fellowship, Cook County Hospital, Chicago IL Chicagoans living near heavy-traffic corridors breathe the most polluted air. Provident Hospital of Cook County in Chicago, IL is a general medical and surgical facility. All Rights Reserved. Weight loss surgery is a major surgical procedure that gives patients the opportunity for a better, healthier and longer life. Dr. Teixeira finished his undergraduate studies in biology at Augusta State University. The Comprehensive Bariatric Surgery Program offers free, online bariatric surgery educational seminars where all of the available surgical options are explained in detail, including how our program works, the procedures we perform, and what processes are involved when considering weight loss surgery. Patient safety is our highest priority. Students at Lenart Elementary Regional Gifted Center on the South Side in May participated in the school's annual fundraising walk-a-thon. List Your Practice; Find Doctors and Dentists Near You . Ari Mayerfield L., MD Hand Surgery, University of Louisville, Louisville, KY Only after all these factors are considered will you be considered for approval. In addition, the intestines are reorganized to separate the digestive enzymes from the food that is eaten, thereby limiting the amount of calories that are absorbed by the body. ALL RIGHTS RESERVED. July 18, 2022 Johnny Pippins has already completed a master's degree while in prison for murder. Michael J. Malinowksi, MD Vascular Fellowship, Loyola University, Chicago IL He also has published book chapters. Estimated Wait Times as of:Saturday, March 4, 2023 5:53 AM, COPYRIGHT 2023 ORLANDO HEALTH. New Year, New Goals; Nov 30, 2022. Candidates for bariatric surgery go through an extensive screening process. Learn more about the current bariatric surgical options available, find out if you are a candidate for surgery and discover ORMC's approach. Member, Florida Physicians Association, Research: Has presented more than 45 presentations on laparoscopic and bariatric surgery. The Yeoman Creek Landfill, a Superfund site in Waukegan north of Chicago, will eventually be the site for 20,000 solar energy panels. As a patient in Crozer Healths Comprehensive Bariatric Surgery Program, youll meet regularly with the experts on our Nutrition Services team both pre-op and post-op to ensure a successful surgery, a rapid recovery and an enduring healthy lifestyle. You should call your insurance company to verify benefits. Exciting opportunity in Lewes, DE for Beebe Healthcare as a BARIATRIC SURGERY-LEWES-CHART REVIEWER Trending videos Doctors and patients discuss the latest medical treatments and health tips Drugs A-Z Search prescription drugs for why they're used, side . Our physicians work within in a multidisciplinary team that includes specialists in Radiology, Medical, ur team works with you to design a comprehensive, cohesive treatment plan which may include surgery, chemotherapy, radiation and/or endocrine therapy, The Division of Cardiothoracic Surgery treats diseases of the organs within the chest, the lungs, chest wall, glandular tissues and. In addition to the most advanced surgical procedures, our friendly and experienced staff provides individualized preoperative counseling and ongoing postoperative support. Besides the county's two public hospitals and clinics, the health plan includes more than 1,400 primary care providers, about 15,000 specialists and roughly 70 other hospitals, according to Cook County Health. General Inpatient: 11:00 AM - 8:00 PM (Children must be at least 2 years old.) You can still support the Advisory Council if you answer "no. Brian Munoz/St. Shorter hospital stays Most patients stay overnight and are discharged the next day, There is no need for adjustments no needles, No cutting or stapling of the stomach or bypassing the intestines, Shorter hospital stays most patients stay overnight and are discharged the next day, Removable band If for any reason the band needs to be removed, the stomach generally returns to its original form. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Yet steering business to the health system could irk some hospitals in the CountyCare network, especially smaller ones that rely on elective surgeries. Next, a Y-shaped section of the small intestine is attached to the pouch to allow food to bypass the lower stomach, the duodenum (the first segment of the small intestine), and the first portion of the jejunum (the second segment of the small intestine). Our team can often perform their work through minimally invasive incisions, using special operating telescopes and cameras. Gynecology and Postpartum: 11:00 AM - 8:00 PM (Children must be at least 2 years old.). In the hospital's early years, surgery was almost a kind of performance art. Intensive Care Unit: 24/7 (Children must be at least 12 years old.) View all of our weight loss surgery specialties. If diet and exercise have not worked in the past, weight loss surgery may be an option. He is a member of the Society of American Gastrointestinal and Endoscopic Surgeons, the Florida Medical Association, the American College of Surgeons, the American Medical Association, the Morehouse School of Medicine Chapter, the American Medical Student Association and the Morehouse School of Medicine Chapter. Bariatric surgery is the most effective tool to date for achieving significant long-term weight loss. James M. Kane Sr., Emeritus. And the benefits of bariatric surgery are vast. And unlike like some weight loss programs, youll never feel like a customer. Generally bariatric surgery is for people who are unable to achieve or maintain a healthy weight through diet and exercise, are more than 100 pounds overweight, and who have health problems as a result. Member, American Association of Critical Care Nurses National and Metro-Orlando Chapter. Official Facebook page of UI Health Bariatric Surgery Program. discrimination. At the Penn Bariatric and Weight Loss Surgery Program, we're committed not only to helping you achieve your weight loss goals, but also to improving your overall health. All before-and-after photos and patient testimonials on our site are from actual patients, and have been published with permission. The move could mean more money flowing to the financially challenged county health system, which runs CountyCare, Stroger, Provident Hospital on the South Side, and a network of clinics. Pritzker needs to let him out of prison, U.S. Rep. Mary Miller defeats fellow incumbent Rodney Davis, Antioch Missionary Baptist Church vows to rebuild after fire, North of Chicago, a contaminated landfill will be reused for solar energy. Manuel Martinez/WBEZ Chicago The Comprehensive Bariatric Surgery Program offers free bariatric surgery educational seminars where all of the available surgical options are explained in detail, including how our program works, the procedures we perform and what processes are involved when considering weight loss surgery. (203) 852-3050 TTY (800) 842-9710 Driving Directions. Post-operative patients are strongly encouraged to attend. Call321.8HEALTHor click here to sign up. These monthly meetings are intended to help you recognize and change your emotional response to food. The American College of Surgeons is dedicated to improving the care of surgical patients and safeguarding standards of care in an optimal and ethical practice environment. We welcome pre-operative patients that are interested in learning more about the lifestyle changes necessary to be successful with weight loss to stop by as well. Yet it's facing major financial challenges. Theres been a lot of firsts since the surgery. Combined procedures are more difficult to perform than the restrictive procedures. Our staff will follow up with you to confirm an appointment time, location, date. June 2, 2022 The landfill in Waukegan will soon be home to 20,000 solar panels, part of a trend to reuse Superfund cleanup sites. Surgery Location(s): John H. Stroger, Jr. Hospital, Provident Hospital Department/Division: Surgery Medical Education: . The CountyCare insurance network is vast. This field is for validation purposes and should be left unchanged. For assistance in the following languages: | | | Nederlands | Franais | Deutsche | | | | Italiano | | | | Pennsylvania Nederlands | Polskie | | Espaol | Pilipino | | Ting Vit, Call for an In-Person or Virtual Visit Appointment. Copyright 2023 Suburban Surgical Care Specialists, S.C.. All rights reserved |, Bariatric Surgery Marketing and Website Design, University of Scranton, Scranton, Pennsylvania, 1943, Loyola University, Stritch School of Medicine, Chicago, IL, United States Naval Air Station, Olathe, Kansas, Association of American Physicians and Surgeons, Clinical Assistant Professor of Surgery, 1958, Northwestern University Medical School, Department of Pathology, Alexian Brothers Medical Center, Elk Grove Village, IL, Northwest Community Hospital, Arlington Heights, IL, Holy Family Medical Center, Des Plaines, IL. Former Chief of Staff, Monroe Regional Hospital Learn if bariatric surgery is right for you with this Surgical Risk/Benefit Calculator. Crozer Health's bariatric surgeons specialize in minimally invasive laparoscopic surgery a less invasive approach, using a small camera to view internal organs through small (1/4-1 inch) incisions. The Cook County Hospital Department of Oral and Maxillofacial Surgery treats many conditions of the head and neck. At the Crozer Health Comprehensive Bariatric Surgery Program, were proud of our success and we have the awards and honors from prestigious organizations to back it up. Because combined operations result in greater weight loss than restrictive operations, they may also be more effective in improving the health problems associated with severe obesity, such as hypertension (high blood pressure), sleep apnea, type 2 diabetes, and osteoarthritis. There are more than 300,000 people enrolled in CountyCare, the largest Medicaid plan for low-income and disabled people in Cook County. Emergency Department and Trauma: 24/7 (Children must be at least 2 years old. 1901 West Harrison Street, Chicago, IL 60612 Chicago, IL, United States. Bariatric Surgery: Is this weight loss surgery for you? hide caption. "We don't do this for things that we can't do," Shannon recently told WBEZ. He received his medical degree at Morehouse School of Medicine and completed his internship in general surgery at Orlando Regional Medical Center. Bariatric Surgery - Norwalk. Some of the reasons include poor weight loss, weight regain and possible complications relating to the band including band prolapse or injury to the stomach or esophagus. Thomas R.Dekoj, MD Colon and Rectal Surgery, North Shore University- Long Island Jewish Health System Address: 89 W. Copeland Drive 1st Floor Orlando, FL 32806 Call: (321) 843-8900 Fax: (321) 843-8916 Overview Ratings & Reviews Practices & Locations Accepted Insurances Blog Bio Muhammad A. Jawad, MD, FACS, is a board-certified surgeon and the medical director of Orlando Health Weight Loss and Bariatric Surgery Institute. Freedom of Information Act for Offices Under the President. When you trust Crozer Health with your weight loss and lifelong health, our friendly and experienced staff will be with you every step of the way. You can still support the Advisory Council if you answer "no.". Our Bariatric Surgery Program views the treatment of morbid obesity as a lifelong commitment that incorporates a change in diet, exercise and permanent lifestyle changes. Our experts specialize in breast cancer screening, benign breast disease, genetic testing, breast cancer diagnosis and treatment. It is considered the gold standard of bariatric surgery. And the big fundraising is by schools where most kids aren't low income. The tau symbol represents physicians who are employees of the Franciscan Physician Network, a division of Franciscan Alliance, Inc. All other physicians are independent members of the Medical Staff who choose to practice at a Franciscan Health hospital. Join our Community Newsletter Distribution List. Find top doctors who perform Revisional bariatric surgery near you in Lisbon, ND. If you are experiencing a medical emergency, call 911 immediately. All Rights Reserved. Well give you the tools and teach you how to use them but your success depends on how you use those tools. This field is for validation purposes and should be left unchanged. She stated, Im still recovering and losing weight. CountyCare's state Medicaid contract says it must provide equal access to government providers. Ailabouni, MD Colorectal Fellowship, Cook County Hospital, Chicago, IL hide caption. Bariatric Surgery Overview. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. Andre F. Teixeira, MD, serves a bariatric physician for the Bariatric Program at Orlando Regional Medical Center. Enrollees in Cook County's government-run Medicaid insurance plan may soon have fewer options for where they can get some complicated surgeries. Research: 2010, Principle Investigator for current practices and documentation of airway management The move also "helps to preserve and protect the community asset that is Cook County Health because it keeps business in-house," Shannon said. Ranjna Sharma, MD Surgical Breast Oncology Fellowship, MD Anderson Cancer Center, TX. Bariatric surgery is the most effective tool to date for achieving significant long-term weight loss. Bus Routes Amy has now lost over 300 pounds. The Surgical Intensive Care Unit (SICU) provides top-quality comprehensive care to patients recovering from major surgical procedures. A gastric bypass further reduces the absorption of calories, fat and certain nutrients from food. Weve streamlined the preoperative process to help you reach your surgery date with as little fuss and drama as possible. Now he's seeking clemency so he can continue his education. Host: Mary Dixon; Reporter: Alex Degman, Congregation members respond during an Antioch Missionary Baptist Church service at Calahan Funeral Home. Generally bariatric surgery is for people who are unable to achieve or maintain a healthy weight through diet and exercise, are more than 100 pounds overweight, and who have health problems as a result. Payam Salehi, MD Vascular Surgery Fellowship, Barnes-Jewish Hospital, WashU. He added that it's in U of I's interest that CountyCare be successful. After a Sleeve gastrectomy studies suggest that a personcan anticipatelosing about 65 percent of their excess weightand this usually occurs within the first year after surgery. . You have two serious health problems such as diabetes, high blood pressure, sleep apnea, or osteoarthritis. We don't do heart transplants. He's now seeking clemency so he can get out early after 26 years. Veronica Guerrero, MD(Tirado) Bariatric Surgery Fellowship, Magee, Womens Hospital of UPMC You can also attend a bariatric and metabolic surgery support group to meet with other bariatric surgery patients and clinical staff to discuss any questions or concerns you may have. You may want to consider surgery if: Your body mass index (BMI) is above 35* Health risks, such as heart or lung problems, Your lifestyle and the ability to commit to the required lifestyle changes. Abdul Saied- Calvino, MD Surgical Oncology Fellowship, Boston University, Providence, RI June 2, 2022 WBEZ found that fundraising by CPS schools has skyrocketed since 2010. 53 were here. They also provide a source of understanding and encouragement from bariatric patients just like you. Neonatal and Pediatric ICUs: 9:00 AM - 8:00 PM (Children must be at least 6 years old. The idea of private insurers like CountyCare overseeing Medicaid enrollees is to keep people healthy to ultimately save the government money by not having to provide so much medical care. Gastric bypass and other weight-loss surgeries are done when diet and exercise haven't worked or when you have serious health . University of Illinois College of Medicine, University Of Illinois At Chicago Pediatrics Residency, 2023 Franciscan Alliance, Inc. All Rights Reserved, Franciscan Health Facilities and Franciscan Alliance d/b/a Franciscan Physician Network comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. patients with individualized care for breast cancer screening, prevention and treatment. The James Cook University Hospital has its own dedicated bariatric team including surgeons, dietitians, nurse specialists, psychologists, Allied health professionals and a metabolic physician. You can also visit our referring physicians page. Gastric conversion involves removing a band and converting the patient to either a gastric bypass or a sleeve. Most importantly, these seminars help to answer the question: Is bariatric surgery right for you? (845) 871-4275 TTY (800) 421-1220 Driving Directions. Bariatric Surgery, General Surgery, Colon and Rectal Surgery. surgeons are also very experienced in helping make patients more comfortable when their cancers have spread too far for cure. Cookies help us improve your website experience. Michelle M. Mouria, MD Private Practice, West Virginia hide caption. Lenart's mostly working class families raise about $20,000 a year. Nutrients and calories are absorbed from food normally, but patients feel full sooner and longer. Report. Copyright 1996-2023 American College of Surgeons, 633 N Saint Clair St, Chicago, IL 60611-3295. County officials expect to generate about $8 million next year by steering many surgeries in those four areas their way. The majority of surgeries will likely flow to Stroger next. Our top priority is providing value to members. This website uses cookies and third party services. After gastric bypass surgery, studies suggest that a patient can anticipatelosing up to 80 percent of excess body weightwithin two years of surgery, and can expect to keep off 70 percent of the excess weight at 10 years. Learn more about the current bariatric surgical options available, find out if you are a candidate for surgery and discover ORMC's approach at afree 90-minute information session, where you will beprovided withdetails about weight loss surgery. Always consult a medical provider for diagnosis and treatment. At Orlando Health we offer comprehensive services and award-winning healthcare. Kristen Schorsch covers Cook County politics for WBEZ. This content is not available in your current region. Full Time, Seasonal/Temporary. Member, Society of Critical Care Medicine Follow her @kschorsch. 2020 ObesityHelp, Inc. All Rights Reserved. The information on this page is presented as supplied by the indicated members of our community. "And as they say, it's kind of the first chapter in how to run an insurance plan.". It involves modifying an existing bypass or a sleeve and usually is due to either poor weight loss or typically weight regain. Cook County Health estimates hospitals throughout the CountyCare network performed about 210 surgeries in the four areas last year. Home/Practice Information/Dr. Sugrue, Jeremy Colon and Rectal Surgery Fellowship - Stroger Hospital of Cook County Thomas, Sany MIS/Bariatric Surgery Fellowship - Scripps Green Hospital Zimmermann, Jason MIS/ Advanced GI Surgery Fellowship - George Washington University Class of 2019 Abdulkareem, Raed Cardiothoracic Surgery Fellowship - University of Pittsburgh Medical Center "We don't do bone marrow transplants. All Units: 24/7 for Parents and Guardians Medications after Bariatric Surgery Bariatric Surgery Articles Tools & Resources Post Op Planner BMI Calculator Bariatric Friendly Recipes . She stated, Im still recovering and losing weight. But, surgery is just one part of Crozer Healths Comprehensive Bariatric Surgery Program. Roux-en-Y Gastric Bypass Surgery is the most common and successful combined procedure in theUnited States. Most importantly, these seminars help to answer the question: Is bariatric surgery right for you? Results based on a five-year and three-year case study suggest the Vertical Gastrectomy, also known as Sleeve Gastrectomy, has weight loss similar to other procedures with lower risk of complication. That is the reason why long time replacement as well as follow up with your surgeon is essential. In fact, U of I has these deals with other insurers to funnel some transplants, bariatric services and orthopedics to its hospital. U of I is a state-owned health system. David A. Garza, MD General Surgery Fellowship, Kaiser Permanente Medical Center, CA Our Bariatric Surgery Program views the treatment of morbid obesity as a lifelong commitment that incorporates a change in diet, exercise and permanent lifestyle changes. Telemedicine appointments happen on a secure online video platform. About Our Health System. A graduate of the CCH Leadership Development Institute, she is devoted to serving our patients and investing in the communities where our clinics are located. Kendra J. Grubb, MD CT Fellowship, University of Virginia an issue to the Inspector General. Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more, Back and Neck Surgery (Except Spinal Fusion). "We've helped patients struggling with obesity-related diabetes, hypertension and cardiovascular disease," Dr. Schrapps says. Occasionally the original surgery causes complications and your surgeon may recommend revising your original gastric bypass to a sleeve OR your original sleeve to a gastric bypass. U of I, as well as the dozens of other hospitals in the CountyCare network, will have to meet specific criteria to be able to perform the four classes of surgeries CountyCare plans to restrict to certain hospitals. And there are a variety of other things that we as health system cannot do or cannot necessarily do well, and so we would never make those decisions at the expense of the patient. Current Budget Information. Jonas L.M.Karlsson, MD Trauma Critical Care, Vanderbilt University, Nashville, TN Read the full notice: Franciscan Health Facilities | Franciscan Physician Network, ATTENTION: If you are not proficient in English, language assistance services, free of charge, are available to you. It can improve your quality of life, reverse diabetes, eliminate sleep apnea, help control high . Some of the considerations for each type of procedure include: The type of bariatric surgery youll undergo will be a mutual decision between you and your surgeon. U.S. Rep. Mary Miller at a rally June 25 in Mendon, Ill. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Louis Public Radio Learn about precautions - including visitor guidelines, Franciscan Midwest Bariatric Institute Dyer. The following CTA Train stations service the John H. Stroger, Jr. Hospital: Adults This reduces the amount of calories and nutrients the body absorbs. Bryce J. Bardezbanian, MD Private Practice, Advocate Christ Medical Group

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cook county hospital bariatric surgery