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Application

Instructions for Membership Application

 To begin the application process to join CCPA, please follow these steps:
  1. Thoroughly review the CCPA BylawsCCPA Physician Master Agreement and the CCPA Product Description. These documents outline the terms and conditions between CCPA and the physician, as well as for participation in CCPA's fee-for-service agreements.                                                                                                                                                                                              
  2. If you find the terms and conditions in the above documents agreeable, please use this Application Checklist to complete the CCPA Membership Application.                                                          

      Please ensure that you complete ALL of the documents below:

3.  If your practice is new to CCPA, please also complete the following documents:

4.  Submit your completed application materials to CCPA:

Phone: 312.227.7440

Fax: 312.227.9526

Email: ccpa@luriechildrens.org

Mailing address: 225 E. Chicago Avenue, Box 113, Chicago, IL 60611

Questions about the CCPA membership application?

Please contact LaVonna Swilley at 312.227.7425 or lswilley@luriechildrens.org.