Referring Doctors

To refer patients to our office, please download and complete the referral form below. Please fax the referral form to (312) 372-1743 or mail to our office. Thank you for the confidence you place in us by sending your patients to us.

We recognize that we are partners in the care of your patients and strive to work closely with you to carry out your treatment plans. It is important to us to recognize your vision and preferences.

We believe that good communication is essential to successful outcomes for our mutual patients and will keep you informed as to your patient’s treatment plan and progress. At the end of their treatment with us, your patients will be immediately referred back to you for restorative care.


Mark J. Gargiulo, D.D.S.
Shawn Thomas, D.D.S.