Get In Touch

Please fill out the form and a representative of CPS will respond to you within 24 hours.

Chicago Podiatric Surgeons
467 West Erie St
Chicago, IL 60654

16325 Harlem Ave
Suite 100
Tinley Park, IL 60477

6 East St. Charles Rd
Lombard, IL 60148

Phone: (312) 337-9900
E-mail: staff@chicagopodiatry.com

Request an Appointment Online - Chicago office

To schedule your appointment simply complete the form below and one of our associates will contact you to confirm the date and time of your visit based on our availability.
(*required fields)
Our office in Chicago is open from Monday till Friday.
step 1 - date and time
In a hurry? Check the box below to request the "first available" appointment. By selecting this box you no longer have to select your preferred date and time.
I am requesting the first available appointment.

Preferred date:
(click to highlight)
Preferred time:



Alternative date and time:

step 2 - doctor
Preferred doctor:
New versus returning patient: I am a new patient
I am a returning patient


step 3 - contact information
Title:
First Name: *
Middle Initial:
Last Name: *
Date of Birth: *
Phone Number: *
Alternative Phone Number:
Email Address: *
Insurance Company: *
"Put "none" if you do not have any insurance.
Policy Number/Member ID: *
Group Number:
Anti SPAM verification: * 3 + 3 =

Please briefly describe the nature of your problem:



step 4 - method of contact
We will reply to your request using the email address you provided. Please check your inbox soon. You should receive a reply shortly. If you prefer a phone call instead, please check below.
I prefer a phone call instead of email.

You can also conveniently schedule your appointment by calling us at:
312-337-9900