Schedule your visit Request an Appointment Services (773) 777-4767 Filll in the form Insurance Plan Please select Paying out of pocket (Self-pay) I will provide my insurance later Aetna Blue Cross Blue Shield (BCBS) Cigna Medicaid / All Kids (Illinois) UnitedHealthcare Other Reason for your visit Please select Routine Well-Child Exam Sick Child Visit (Fever, Earache, Cough) School or Youth Sports Physical Behavioral or Learning Evaluation Newborn Hospital Follow-up Prenatal Consultation (Expecting Mothers) Immunizations / Flu Shot Has the patient seen Dr. Banas before? Please select Yes, we are a current patient No, we are a new patient Choose the type of appointment Please select In-office visit (6033 Irving Park Rd) Telehealth / Video visit Select date Select time Please select 9:00 am 10:00 am 11:00 am 12:00 pm 1:00 pm 2:00 pm 3:00 pm 4:00 pm 5:00 pm First name Last name Date of birth Sex assigned at birth Please select Male Female Preferred Language for Visit Please select English Polish Russian Spanish Email Phone Number Additional Notes / Message for the Doctor I accept the Terms of Service and Privacy Policy. Book an Appointment