Care shouldn’t stop after the first protocol.
Clear. Stable. Consistent.
Direct Primary Care membership in Wilmette, IL — same-day access, no insurance maze, and a physician who tracks your labs year over year, not just at your annual.
Most people haven't experienced good primary care.
They've experienced the system.
You've had the appointment that runs seven minutes, the labs that show up in a portal with no one to explain them, the specialist referral that goes nowhere because nobody coordinates the follow-up.
That's not a care problem, it's a model problem. Direct Primary Care is built differently — flat monthly fee, a small patient panel, and a physician who actually has time. Time to know your history. Time to read your labs in context, not just flag the ones outside reference range. Time to answer a question by call or text the same day you have it.
At Lake Avenue Wellness, DPC membership connects directly to our full program — hormones, weight loss, cognitive performance, recovery — so your primary care physician is the same person overseeing everything. One physician, one picture, nothing falling through.
Health isn’t static.
Your care shouldn’t be either.
What you get
- Same-day and next-day access: When something comes up, you get seen. No three-week wait for an appointment, no urgent care visit for something your doctor should handle. Direct access to your physician when you need it.
- Unhurried appointments: Appointments that aren't timed. A physician who has read your chart before you walk in, asks the right questions, and doesn't end the visit before the conversation is finished.
- Direct physician communication: Text and call your physician directly. Questions answered the same day — not routed through a nurse line or a patient portal that gets checked twice a week.
- Wholesale prescription pricing: As a member, you access medications at wholesale cost directly through our pharmacy relationships — often 80-90% less than retail pharmacy pricing. For patients on ongoing medications, this benefit alone frequently offsets the cost of membership.
- Comprehensive annual evaluation: A full yearly workup that goes well beyond the standard physical — hormonal status, metabolic markers, cardiovascular risk, and a physician-led review of everything in context.
- Ongoing lab oversight: Your labs don't just arrive in a portal. Your physician reviews them, flags what matters, explains what it means, and adjusts your care plan accordingly. Year over year, this is where the compounding value of DPC shows up.
- Coordination across your care: If you're also on a hormone program, weight loss protocol, or cognitive performance plan at Lake Avenue Wellness, your membership physician coordinates across all of it. One physician who sees the complete picture.
- Specialist referral and coordination: When you need a specialist, your physician makes the referral, provides context, and follows up. You don't navigate the system alone.
- No insurance friction: Membership is a flat monthly fee. No copays, no deductibles, no authorizations, no surprise bills. You know exactly what you're paying.
Without ongoing care, most people experience:
Results that hold for a while and then drift back without explanation
No clear answer for when something stops working — because no one is actively watching
Symptoms that sit unaddressed for weeks because there's no easy way to reach someone who knows your history
Follow-up that depends on you remembering to schedule it
Care from multiple providers who don't talk to each other and don't share context
Decisions made on intuition rather than on current data
If you want a more structured, consistent approach, this is where it starts.
Why this works differently
- Most primary care is reactive: You have a problem, you book an appointment, you get addressed, you leave.
- DPC is continuous: Your physician knows your history, tracks your numbers over time, and catches what's changing before it becomes a problem.
The difference isn’t access, it’s context. A physician who has seen you four times in two years and reviewed your labs three times makes a different clinical decision than one seeing you for the first time.
Who this is for
- Patients who want a physician relationship that actually accumulates over time.
- People managing their hormones, weight, cognitive health, or recovery who want all of that coordinated in one place.
- North Shore adults who are healthy and want to stay that way, and who are tired of starting over every time they need something.
This may not be the right fit if
- You're looking for the lowest possible cost and are comfortable with a high-volume practice.
- You prefer seeing a specialist directly for everything rather than a primary physician who coordinates.
- You're not interested in ongoing lab oversight and don't want a physician tracking your numbers between visits.
Physician-led. Always.
At Lake Avenue Wellness, membership care runs through our board-certified physician team.
Every plan gets reviewed clinically, guided by physician oversight, and adjusted as your labs and response evolve.
This isn’t a stack of services you manage yourself. It’s a physician-led system where the pieces actually talk to each other.
Dr. Tarak Choski, MD
Dr. Richard Scuderi, MD
Shaily Patel, N.P.
Josh Black
Kristin Bissing, N.P.
Stephanie Mansfield, MA
Everything works better when it’s connected
- Hormone optimization: That informs how we read your metabolic labs — not a separate track.
- Weight loss and metabolic work: That accounts for your hormonal status because the two are inseparable.
- Peptide protocols: Designed around your recovery and your existing clinical picture, not bolted on independently.
- Recovery care: Shockwave, HBOT, IV therapy — integrated with your training and your broader health plan.
- Cognitive health: Evaluated against your hormones, sleep, and metabolic function as a system, not in isolation.

Board-Certified Physicians

SSRP-Certified Peptide Specialist

FDA-Registered Pharmacy
Most people manage their health alone. You don’t have to.
Your first consultation is a real conversation about whether this model fits how you want to manage your health. We'll go through what you've been dealing with, what ongoing care would actually look like, and whether membership makes sense for your situation. No commitment, no pressure.
If it fits, we'll outline next steps. If it doesn't, we'll tell you that.
Frequently Asked Questions
What does the membership actually include day-to-day?
- Same-day and next-day physician access
- Unhurried appointments
- Direct physician communication by call or text
- Wholesale prescription pricing through our pharmacy network
- A comprehensive annual evaluation that goes well beyond a standard physical, ongoing lab review and interpretation
- Care coordination if you're in other programs at Lake Avenue Wellness
- Specialist referral and coordination.
It’s designed for continuity — not just access when something goes wrong.
Do I still need health insurance if I'm a member?
Yes — membership doesn’t replace insurance. It reduces how often you need to use it by providing direct physician access for most things your insurance would otherwise gate-keep.
Many members keep insurance for catastrophic coverage, hospitalizations, and specialist care while relying on Lake Avenue Wellness for the day-to-day and the proactive.
How does the discounted prescription pricing work?
Members access commonly prescribed medications through our pharmacy relationships at significantly reduced cost — often 80 to 90 percent less than retail pharmacy pricing.
For patients on ongoing medications, this benefit alone frequently offsets a meaningful portion of the membership cost.
Can I come in when I'm sick, or is this only for optimization programs?
Both. Membership includes sick visits without needing to go to urgent care or start over with a provider who doesn’t know your history.
Your physician already knows your labs and your baseline — which makes a sick visit faster and more useful than it would be with a physician seeing you for the first time.
Is this the same thing as concierge medicine?
Similar model, different focus. Traditional concierge medicine often emphasizes access and hospitality. Our DPC model is built around clinical continuity, data-driven decisions, and integration across all your care programs. The access is there — but it’s in service of a long-term health strategy, not just convenience.
How often will I actually see my physician?
As often as your situation calls for. Membership includes structured check-ins and ongoing access — there’s no visit limit. Some patients are in monthly for lab reviews and program check-ins.
Others come quarterly for their comprehensive review and reach out in between as needed. The frequency is driven by your health picture, not a plan tier.
Can I experience the model before enrolling as a member?
Yes.
You can start with a consultation or a sick visit to experience how the model works before enrolling. We’d rather you make the right decision than a fast one.
Lake Avenue Wellness provides Direct Primary Care membership in Wilmette, IL, serving patients from Evanston, Winnetka, Kenilworth, Glencoe, and Northfield who want ongoing physician oversight integrated with their hormone, weight loss, and optimization programs. Our board-certified physicians offer same-day access, ongoing lab oversight, and direct physician communication — not episodic care that starts over every visit.