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Peoples Gas fax number
(844) 603-9181
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Medical Certificate
Used for: Submitting a medical certificate to prevent disconnection or restore service when ill
Fax destination details
- Department
- Medical Certificate
- Purpose
- Submitting a medical certificate to prevent disconnection or restore service when ill
- Form
- Medical Certificate — Medical Certificate (for disconnection avoidance and restoration)
- Address
- 200 E. Randolph St., Chicago, IL 60601-6302
- Voice phone
- 866-556-6001
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
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- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Submit on letterhead by a licensed professional (physician, PA, NP, or local board of health). Include patient name, service address, a statement that the patient resides at the service address, and a statement that disconnection would aggravate or create a medical emergency. Include the certifier's name, business address, and phone number, and date and signature. The certificate must be dated within 21 days of presentment. Fax to 844-603-9181 or mail to Peoples Gas Attn: Contact Center, 200 E. Randolph St., Chicago, IL 60601-6302.
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