1400 E Golf Road
Suite 118
Des Plaines, IL 60016

ph: 847-635-2001
fax: 847-635-2076

Appointments Request Form

This page is meant for our established KMP clinic or office patients only.

Our Office Hours are as follows:

 

Mondays:  2:00 p.m. - 5:00 p.m.

 

Tuesdays: Home Visits

 

Wednesday: 10:00 a.m. - 12:00 noon

&

2:00 pm - 5:00 pm

 

Thursdays: Home Visits

 

Friday: 3:30 p.m. - 5:30 pm

 

Saturdays (some Saturdays of each month) 10:30 a.m - 2:00 p.m.

 

We are closed on Sundays and Major Holidays and Holy days

Please read this before you fill up the request form for Appointments!!!

 

Due to HIPPA regulations please identify the patients name  with the medical record number we assigned you.

The company should be left blank.

The phone slot is for the best number to contact you.

The question and comment  is for  the date & time you want to see the doctor.


Copyright this business. All rights reserved.

Web Hosting by Yahoo!

 

1400 E Golf Road
Suite 118
Des Plaines, IL 60016

ph: 847-635-2001
fax: 847-635-2076