Contact Us

Contact Form

To Schedule an Appointment or Request More Information:

What service would you like	Select a Service Therapy Testing PRT Treatment for Autistic Spectrum Disorders Speech-Language Evaluation Training/Professional Development Schedule a speaking engagement Don’t Know
Please note, if you don’t know, you can schedule a consultation to determine what your child may need
Child’s Name
Child’s Age
Patient Status	New Patient Returning Patient
Mother’s Name
Father’s Name
Home Phone #
Alternate Phone #
E-mail Address
Home Address
Clinician Requested	Dr. Daniels Dr. Washburn Mrs. Daskal First Available
Who referred you to our practice?
Preferred location for your appointment	Select a Location Northfield Chicago no preference/first available
Your Message (Optional):
Security Code
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Contact Information

By Email

ROBERT E. DANIELS, Ph.D. 
(rdaniels@chicagochildrensclinic.com)

JASON J. WASHBURN, Ph.D. 
(JWashburn@chicagochildrensclinic.com)

JUDY B. DASKAL, M.A.
(jdaskal@ameritech.net)

By Postal Mail:

Near North Chicago Office
1333 N. Kingsbury St., Suite 100
Chicago, IL 60622
Click Here for Directions to our Office using Google Maps

Hyde Park Office
4950 S. Chicago Beach Dr.
Chicago, IL 60615
Click Here for Directions to our Office using Google Maps

Northshore Office
778 Frontage Rd., Suite 123
Northfield, IL 60093
Click Here for Directions to our Office using Google Maps

By Phone:
312-587-1742

www.chicagochildrensclinic.com

Fax 312-867-1242