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North Suburban MC
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mins
Northeast ER
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mins

Online Pre-Registration

What you'll need to Pre-Register:

  • Your personal contact information including occupation information
  • Emergency contact information
  • Insurance information, group name and number, policy number, address and telephone number
  • Physician name
  • Date of procedure

Surgery patients, please also have the below information available:

  • The names, addresses and phone numbers of your physicians.
  • A list of all medications you are taking, their dosage and frequency.
  • A list of surgical procedures you have ever had
  • The name of the surgeon who will be performing your upcoming procedure
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