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Full Resource Name:
NORTHSHORE GAS - Medical Certificate Program
Address
200 East Randolph Street
Attn: Contact Center
Chicago, IL 60601
(866) 556-6004
https://www.northshoregasdelivery.com/
Hours:
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
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