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Book a Virtual Group Info Session to take the first step on your child's healing journey with us.
When a child changes almost overnight, with sudden anxiety, obsessive thoughts, tics, or rage, Chicago-area families often struggle to find a clinician with real PANS and PANDAS experience close to home. There is a dedicated clinic about a two-hour drive away, in Culver, Indiana.
At the PANS/PANDAS Clinic at Culver Pediatrics Center, board-certified pediatrician Dr. Noemi Adame provides specialized, PPN-aligned PANS/PANDAS care. Chicagoland families are seen in person at our Indiana clinic, and a doctor-to-doctor virtual consultation is available wherever you live.

Understanding the diagnosis is the first step toward getting your child the right help.
PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and its strep-linked subtype PANDAS describe a sudden, dramatic onset of obsessive-compulsive behaviors, tics, anxiety, restricted eating, irritability, or trouble with schoolwork, often following an infection. According to the National Institute of Mental Health, symptoms can appear within days and tend to follow a relapsing and remitting course. The leading explanation is a neuroimmune one: in susceptible children, the immune response after an infection appears to contribute to inflammation that affects the brain.
There is no single blood test that confirms PANS or PANDAS. As the PANDAS Physicians Network describes, diagnosis is clinical, built from the full picture of how and when symptoms began. That is why an experienced clinician matters.
Whether you can travel or prefer to stay local, there is a path forward.
Culver, Indiana is about a two-hour drive from much of the Chicago area. Many families make the trip for an evaluation and key visits, then handle much of the follow-up virtually. Families travel from as far as California to work with our team.
If you prefer to stay in Illinois, Dr. Adame offers a virtual consultation in which she reviews your child's records and gives your local physician a written plan to implement. This model is available wherever you live and keeps your local doctor in charge of day-to-day care.
In-person treatment is provided at the Indiana clinic. The virtual consultation supports your child's existing Illinois physician and is not a substitute for in-person care.
Personalized, evidence-informed, and aligned with PANDAS Physicians Network guidance.
Treatment is always individualized. The therapies listed describe options a clinician may consider, not a promise of any specific treatment or outcome.
Dr. Noemi Adame is a board-certified pediatrician with more than 20 years of experience who leads a dedicated PANS/PANDAS clinic. Her approach blends evidence-based Western medicine with whole-child, holistic care, a philosophy the practice calls "Veggies Over Pills."
As a Direct Primary Care practice, we do not bill insurance. Instead, a flat membership lets us offer comprehensive PANS/PANDAS services, longer visits, and direct access to the care team, accountable to your family rather than an insurance company.
Culver Pediatrics Center runs a dedicated PANS/PANDAS clinic about a two-hour drive from much of the Chicago area, in Culver, Indiana. Chicagoland families are seen in person at the Indiana clinic, and a doctor-to-doctor virtual consultation is available nationwide.
Yes. In-person care is provided at our Indiana clinic. For families who prefer to stay local, Dr. Adame offers a doctor-to-doctor virtual consultation that gives your child's Illinois physician a written plan to implement.
The clinic is in Culver, Indiana, roughly a two-hour drive from much of the Chicago area.
Care is individualized. Aligned with PANDAS Physicians Network guidance, it may combine addressing infection, calming the immune and inflammatory response when appropriate, and supporting symptoms, alongside holistic support. Specific therapies are chosen case by case.
The practice uses a Direct Primary Care membership model rather than billing insurance. This allows longer appointments and more time to focus on your child's case. Pricing is reviewed during the info session.
Join an upcoming Virtual Group Info Session with Dr. Adame to learn how the PANS/PANDAS Clinic works and whether it is the right fit for your Chicago-area family.
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We are committed to providing compassionate, confidential, and effective primary health care for individuals and families. Whether you're seeking treatment, assessment, or wellness support.

We are committed to providing compassionate, confidential, and effective primary health care for individuals and families. Whether you're seeking treatment, assessment, or wellness support.