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Become a Provider

Frequently Asked Questions
CIIPA Provider Manual
CIIPA Provider Brochure
Demographic Change Form
Download a W-9Providers interested in enrollment click here

To submit an inquiry for provider participation in CIIPA and the North Shore-LIJ Employee Plan, please click the interested in enrollmentĀ link above and send us an email with your name and contact information.

Plan Specific Information

Select a PlanNorth Shore-LIJ Radiology Locations

Referral networks, benefits summaries, and other plan-specific provider news and information.