NORTHSHORE GAS - Medical Certificate Program
Address
200 East Randolph Street
Attn: Contact Center
Chicago, IL 60601
(866) 556-6004
https://www.northshoregasdelivery.com/
Service Hours
Monday: 7:00 AM - 7:00 PM
Tuesday: 7:00 AM - 7:00 PM
Wednesday: 7:00 AM - 7:00 PM
Thursday: 7:00 AM - 7:00 PM
Friday: 7:00 AM - 7:00 PM
Saturday: 7:00 AM - 3:00 PM
Description:
Offers customers who have serious health issues to not have their gas services disconnected. Services will not be discontinued for 60 days from certification. Customers will be entered into a Short-Term Payment Plan within 30 days of the issuance of the certificate.
Eligibility:
Someone in the household must be seriously disabled, have a life-threatening medical condition, requires more heat in winter due to a serious health condition or to prevent deterioration of the individual!s medical condition. Medical certificates are valid only for residential accounts and doctor!s certification is required. The medical certificate must be dated no more than 21 days prior to the date of presentment
Languages:
Spanish
Program Fees:
No fee.
Intake Process:
Submit a medical certificate from your doctor via fax, mail, or call for application assistance.
Documents required:
Medical certificate with the certifying Physician's or Board of Health office letter head and the following information;
- Patient's name
- Patient's service address
- Statement that the patient resides at the premises
- A statement that the disconnection of utility service will aggravate an existing medical emergency or create a medical emergency for the patient
- Physician's name
- Physician's business address
- Physician's phone number
- Physician's signature
- The physician's stamp
Contacts
Program Contact Information
Primary Contact
Program Contact Information
(866) 556-6004
Phone Numbers
Customer Service Center
(866) 556-6004
Fax
(844) 603-9181
TDD Line (M-F 7 AM - 7 PM)
(866) 556-6007
Address Listings
Physical
Confidential Location
Chicago, IL 60601
Mailing (Primary)
200 East Randolph Street
Attn: Contact Center
Chicago, IL 60601
Handicap Accessible?
No
Wishlist:
None
Volunteer Opportunities:
None
Legal Status:
State
Date of Official Change:
November 22, 2023
Related Resource
Services
Click here to show all service details. Or click on a service name to see its details specifically.
Geography Served
- Illinois
- Cook County
- Wheeling
- Lake County
- Antioch
- Bannockburn
- Beach Park
- Buffalo Grove
- Fort Sheridan
- Gages Lake
- Green Oaks
- Gurnee
- Half Day
- Hawthorn Woods
- Highland Park
- Highwood
- Indian Creek
- Knollwood
- Lincolnshire
- Lindenhurst
- Long Grove
- Mettawa
- North Chicago
- Park City
- Prairie View
- Riverwoods
- Round Lake Beach
- Russell
- Venetian Village
- Vernon Hills
- Wildwood
- Cook County
If a location is grayed out it means that only certain areas within it are covered. The areas with complete covereage are listed in black.
Send profile information to an email address.
Provide your email address to receive information about NORTHSHORE GAS - Medical Certificate Program.
Sent!
Close this fieldSend a condensed resource profile to your phone via text message (SMS).
Select your cell carrier and provide your phone number to receive information about NORTHSHORE GAS - Medical Certificate Program.
Sent!
Close this field