Otolaryngology Chicago | Patient Registration | Chicago ENT

New Patient Registration

If you are a new ENT, Sleep, Allergy, Head & Neck Cancer, or Thyroid patient, please fill out the form below in advance of your appointment to assist our staff in making sure that we have all the information necessary to provide you with the best possible patient experience.

FOR COSMETIC PATIENTS please fill out our cosmetic patient registration form

For your convenience, the registration form can be filled out online.

Please arrive 15 minutes before your first appointment so that we can collect necessary information from you.

Bring with you to every appointment:

  • A photo ID
  • Your insurance card
  • Your Method of copayment or payment in full if you are uninsured
  • A list of medications, including over-the-counter medicines and supplements, you are currently taking

Locations

Chicago ENT has four convenient locations throughout the greater Chicago area. For the exact location and/or directions, simply click on the map next to your desired location. To book an appointment, call 773-296-5500 to speak to a scheduler or conveniently online 24/7.

Advanced Center for Specialty Care
3000 N. Halsted Street, Suite #400
Chicago, IL  60657

Phone: 773-296-5500

Office hours:
Monday 8:30 am – 5:00 pm
Tuesday 8:30 am – 6:30 pm
Wednesday 8:30 am – 5:00 pm
Thursday 8:30 am – 6:30 pm
Friday 8:30 am – 5:00 pm
Saturday 9:00 am – 12:00 pm

Allergy Shot Clinic hours:
Monday 8:30 am – 4:00 pm
Wednesday 8:30 am –4:00 pm
Friday 8:30 am – 3:00 pm
Saturday 9:00 am – 11:30 am

Map of the Chicago ENT Lincoln Park Location

St. Mary’s Hospital Professional Building
2222 W. Division Street, Suite #330
Chicago, IL  60622

Phone: 773-296-5500
Map of the Chicago ENT Bucktown Location

8930 Gross Point Road, Suite #700
Skokie, IL 60077

Phone: 773-296-5500
Map of the Chicago ENT Skokie Location

Swedish Covenant Hospital
5140 N. California Avenue, Suite #600
Chicago, IL  60625

Phone: 773-296-5500
Map of the Chicago ENT Chicago North Location

2522 W. Peterson Avenue
Chicago, IL 60659

Phone: 773-262-4110
Map of the Chicago ENT Peterson Location