Appointment Request

The first step towards a beautiful, healthy smile is to schedule an appointment. Please contact our office by phone at 847 397-7161 or complete the appointment request form below. Our scheduling coordinator will contact you to confirm your appointment.

Please do not use this form to cancel or change an existing appointment.

Office Hours
Monday: Administrative Services Only - 9:00 AM - 6:00 PM
Tuesday: 9:00 AM - 6:00 PM
Wednesday: 12:00 PM  - 6:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: Alternating Weeks: 9:00 AM - 6:00 PM or 8:00 AM - 1:00 PM


Patient Information

Patient Availability

Reason For Visit

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.

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Harry J. Kiriluk D.D.S. Ltd Schaumburg Dentist
General and Cosmetic Dentistry
Creating Beautiful Smiles

Welcome to the office of Schaumburg dentist Dr. Harry J. Kiriluk Ltd.


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