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Physician Referrals

Physicians who wish to refer a patient can complete the Physician Referral Form and send it via fax at 312-355-1987

Nurse Coordinators for General Surgery and Bariatric Surgery Programs can be contacted at: 312 355 1493

Yeilie Concepcion, MSN APRN-BC
Melissa Murphey, MSN NP-C

Insurance Coordinator:
Janneth Cruz, 312 996 6294


Having this information in advance may allow us to expedite appointment time, diagnosis and treatment recommendations:

  1. Patient demographics and insurance information
  2. Referring physician information
  3. Medical records including imaging study films and medications


We will make every effort to see referred patients with in one week. We will also try to communicate with referring physician and fax records of our recommendation.

Note: New patients will need to register into our system by calling 1-800-842-1002.


Download the referral form


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