Experience the Future of Regenerative Medicine Today

Call 815- 412-6192 or text STEM to 815-464-7212

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Patient Coordinator

Main Office

Clinical Staff

Work Comp & Personal Injury

We value our patients and your time. If you do leave a voicemail, rest assured it will be returned as quickly as possible.

Quick Contact

First name*

Last name*

Cell Phone*

Email*

Tell us a little about how we can help you, or feel free to submit the Candidate form below if you are interested in becoming a new patient.*

Am I a Candidate?

First name*

Last name*

Cell Phone*

Email*

Date of Birth

Month

Day

Year

Address

Occupation/Activity Level

Diagnosis if known, or body part in pain:

How long have you had this pain?

Describe the type of pain you experience on average:

Do you have access to Xray or MRI imaging from the last year?

Yes

Is this condition related to any workers compensation, motor vehicle accident, or personal injury case?

Yes

Which of these treatments have you tried?

Chiropractor

Cortisone/Steroid

Gel Injection

PRP injection

Physical Therapy

Stem cell therapy

Surgery

Other

How soon are you looking to begin treatment?

Immediately

In the next month

The next few months

6 months or more

Have you been diagnosed with any other health conditions?

Cardiac

Cancer

Diabetes

Pulmonary

Stroke

Migraines

Other

Current medications (prescription or over the counter):

Allergies

Additional comments or questions:

I am agreeable to continue seeking information, knowing that services with Chicago Stem Cell Therapy are not billable to insurances at this time.*

Yes

By submitting this inquiry, I consent to receive communications from Chicago Stem Cell Therapy & Pain Management Institute, including text messages or calls regarding appointments, services, or health-related information. This consent is not a condition of receiving medical care. Message frequency may vary, and standard message and data rates may apply.

I agree

Leave Us a Review

Your experience is important to us! Please take a moment to submit a review below, or click to leave a review on Google instead.

Write a Google Review

How satisfied were you with the overall experience with our office?

How satisfied were you with Dr. Anwar's knowledge and explanations?

How satisfied were you with any wait times during your visit?

How satisfied were you with the overall outcome of your treatments?

Please share more about your condition, treatment, results, or other comments:

Would you Chicago Stem Cell Therapy to friends or loved ones?

Yes

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By submitting this review, you confirm that your feedback is provided voluntarily and that you consent to its use, including sharing or publishing, for promotional, educational, or informational purposes. You also grant permission to use the name you provide in connection with your feedback, unless you explicitly request anonymity. Your personal information will be kept confidential and not shared without your explicit consent.

Thank you for your feedback, it is important to us!

Your results after stem cell therapy treatments are important to us. Please share your progress so we may continue providing the best possible care. Information submitted in this form may be used for educational or marketing purposes, but patients' identities will not be disclosed. Thank you!

First name*

Last name*

Phone

Condition(s) Treated*

Neck or Back

Knee

Hip

Shoulder

Elbow

Hand or Wrist

Foot or Ankle

Autoimmune Disorder

Neurological Disorder

Other (please specify)

Treatment(s) Received*

Neck or Back Injection(s)

Joint Injection(s)

IV Infusion(s)

Approximately how many weeks or months ago did you complete treatment?

Average pain PRIOR to treatments (0= none, and 10= the worst)

Average pain AFTER receiving treatments (0= none, and 10= the worst)

Average flexibility/ range of motion PRIOR to treatments. (0= unable to bend or move at all, and 10= no limitation)

Average flexibility/ range of motion AFTER receiving treatments. (0= unable to bend or move at all, and 10= no limitation)

What are some daily tasks, activities or motions that you were unable to, or had difficulty performing, PRIOR to treatments?*

How do you compare the above tasks, activities, or motions AFTER receiving treatments?*

Please rate the improvement you feel overall. (0% = no improvement, and 100%= full recovery)*

Please rate your overall satisfaction with your results. (0% = not satisfied at all, and 100%= completely satisfied)*

Please list and comment on any other symptoms you experienced prior to treatment, compared to the results after receiving treatments.

Please list any other benefits you have noticed AFTER receiving treatments or anything else you would like to add.

Treatment Progress

Chicago Stem Cell Therapy &

Pain Management Institute

Zaki Anwar, MD

10181 W Lincoln Hwy

Frankfort, IL 60423

New Patients Call: 815-412-6192

Main Office Call or Text: 815-464-7212

Text STEM to 815-464-7212 to learn more

OFFICE HOURS

Monday-Thursday: 9am to 5pm

Friday: 9am to 3pm

Saturday-Sunday: Closed

Link Hub

This website, www.chicagostemcelltherapy.com, offers the opportunity to connect with regenerative medicine and stem cell therapy professionals as part of clinical practice. Because stem cell therapy is not the standard of care in the United States, the following important disclosures are made:

The science of treatment with stem cell therapies can be considered experimental.

The outcome of stem cell therapies will vary between patients and no particular measurement of success can be guaranteed.

There could be unknown risks associated with stem cell therapies as long-term studies have not been performed.

Treatments by licensed providers will only be performed after the patient understands and agrees to informed consent.

The testimonies of people who appear on this website have voiced their experiences at their own free will.

The stem cell therapies performed in this office are not a clinical trial.