If you would rather get a copy of this form as a Microsoft Word or Adobe
Acrobat (pdf) document, click the appropriate link below. You can then fill out
the form and fax it to 312-695-4453. Once your information has been
received, you will be contacted to schedule the procedure, and you will be
given instructions to prepare for your procedure. If you have any questions,
please call 312-695-4452.
Acrobat (pdf) document, click the appropriate link below. You can then fill out
the form and fax it to 312-695-4453. Once your information has been
received, you will be contacted to schedule the procedure, and you will be
given instructions to prepare for your procedure. If you have any questions,
please call 312-695-4452.
Greg S. Cohen, MD
Gastroenterology
Gastroenterology
Schedule a Procedure
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676 N Saint Clair St ● Suite 1525 ● Chicago, IL 60611 ● phone 312-695-4452 ● fax 312-695-4453