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Refer a Patient

We accept same day appointments. Call our office or submit this form.

For questions or further information, please contact:
Cristina Acosta, Practice Manager
Phone: 630-225-7247

We accept most major insurance plans including Medicare, Medicaid, and HMO plans.

This form is intended for healthcare professionals’ use only. Patient privacy and confidentiality should be maintained throughout the referral process.


Addison Location
Edward-Elmhurst Health Center
303 W Lake St., STE 303
Addison, IL 60101

Downers Grove Location
Advocate Good Samaritan Hospital
3825 Highland Ave
Tower 1., STE 3F
Downers Grove, IL 60515

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