Northwest Surgical Specialists Payment Portal

Please complete and submit the form below for payments to Northwest Surgical Specialists.
If you have any questions regarding your bill please email:
Doctor’s office website:
For any billing question please call: (847) 430-6450

Patient Information (all fields are required)

Payment Information

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Please only click the “Submit” button once.
By clicking on “Submit” you authorize Northwest Surgical Specialists SC to charge your credit card.
* Note: We will process your payment within 24 hours. *