Medical Management Expert Witnesses in Illinois

Frankfort, Illinois

Pulmonary Critical Care Medicine, Critical Care Medicine - Medical Management, Medical Utilization & Location of Care, Fraud & Abuse, Compliance, Medical Necessity, Medical Devices, Pharmacy Management, Genomics & Personalized Health, Insurance Reviews of Plan Benefits, Insurance Clinical Policy Reviews, Long Term Acute Care & Long Term Care

Triple Board Certified physician executive/consultant, (Board Certified in Internal Medicine, Pulmonary Medicine, and Critical Care Medicine), with vast experience in medical necessity and utilization review. Over 12 years of experience in national insurance and payer companies. Has served as Medical Director for Aetna, Blue Cross Blue Shield Association, and interim CEO for Next Level Health Partners. Consultation services to companies and manufactures in various areas, (pharmacy, genomics, medical devices, medical management, utilization, etc.), regarding healthcare medical necessity, compliance and educational issues. Fraud and Abuse. Government plans: Medicare & Medicaid. Private insurers all plans: HMO, PPO, Specialty networks. Expert reviews and medical litigation support performed. Sub-specialty medical reviews in Pulmonary and Critical Care Medicine. Current license: Illinois; New Mexico; Oklahoma; Kentucky; New Mexico ...

Wheaton, Illinois

Family Medicine - Urgent Care, Family Medicine, Family Doctor, Internal Medicine, PCP, Primary Care Physician, Preventative Health, Acute Conditions, Immediate Care, Medical Management

Board Certified Family Medicine Physician specializing in Primary Care and Urgent Care. Currently practicing as a PCP in a stand alone clinic managing preventative medicine as well as acute and chronic management of medical conditions of all types. The practice is at the 99th percentile in volume seeing about 40-45 patients per day between myself and my NP.

Gurnee, Illinois

General Practice, Family Medicine - Cancer Screening, Abdominal Pain, Chest Pain, Pulmonary Embolism, Preventive Medicine, Botox, Cosmetic Medicine, Medical Management, Nursing Homes, DOT Exams

Taher Sobhy, MD, is a Board Certified Family Physician, with over 30 years of clinical experience in Primary Care Medicine. He was a clinical assistant professor of family medicine at Chicago Medical School in Illinois 2007-2017. As the past president of the medical staff, he has extensive experience in Health Management. Dr. Sobhy is a Family Physician in clinical practice with more than 90% of his practice in direct patient care. Fluent in English,and Arabic, he has excellent oral and written communication skills. He has experience treating a pediatric, adult, and geriatric patient population with a wide range of conditions and presentations including: high blood pressure, cardiovascular disease, obesity, diabetes, infections, influenza, chest pain, pneumonia, headaches, back pain, depression, anxiety, ADHD, pain management, gynecologic issues, alcohol dependency, tobacco abuse, skin rashes, abdominal pain, cough, and sinus and ear issues. He regularly perform screening for c...