Contact Us

Please complete the form below and a member of our staff will respond to you as soon as possible.

Items with an * indicate a required field

The university of Illinois Hospital will never sell or share your personal information and is committed to the protection and privacy of your shared personal information.

* Required Fields

Question *

First Name *

 

Last Name *

 

MRN Number *

   
Generally, the MRN Number is the first 9 digits of the account number reflected on your bill.

Date of Service *

   

Phone

 

Email *

   

Comment *