Newsletter:
Please complete all fields to request an appointment for WELL CHILDREN ONLY during weekdays. Online requests for weekend appointments are not available. Call 312.642.5515 to schedule an appointment if your child is sick. Please remember to bring current insurance information to the appointment.
Child’s First Name
Child’s Last Name
Patient Status
New Patient
Existing Patient
Phone Number
Best time to call
7am–10 am 
10am-12pm 
1pm-5pm 
Anytime
First choice date & time
 Between
9am–12am  1pm–5pm
Second choice date & time
 Between
9am–12am  1pm–5pm
If you need an specific time, please indicate in message box below.
Provider Name (M.D. & P.NP.)
Alternative Provider Name (M.D. & P.NP.)
Your Message (optional)
Thank you. We will respond to your request via email within 2 business days, Please note that only Dr. Weissbluth does not accept BC/BS, Aetna, or Humana Health Insurance. All other providers accept BC/BS, Aetna, or Humana Health Insurance.
The Northwestern Children’s Practice 680 N. Lake Shore Drive Suite 123 Chicago, IL 60611 (312) 642-5515
© 2006, all rights reserved.