Get in Touch With Sleep Professionals 907 Atlantic Drive West Chicago, IL 60185 (224) 353-6651 (224) 955-1832 [email protected] Mon - Fri: 9:00 AM - 5:00 PM Sat & Sun: Closed Claim Form Download Name(Required)Phone(Required)Email(Required) Referred ByMessagePhysician's NamePhysician's Phone NumberName of CPAP machine, if availableName of CPAP mask and size, if availableUpload Your Insurance CardMax. file size: 100 MB.For Home Sleep Study patients: Upload PrescriptionAccepted file types: jpg, jpeg, gif, png, heic, pdf, Max. file size: 100 MB.For Existing Cpap Users: Upload Your Insurance Card, Add Your Physician's Name and Phone Number, and Include a Copy of Your Previous Sleep Study (if Available).Accepted file types: jpg, jpeg, gif, png, heic, pdf, Max. file size: 100 MB.CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
