DA
DONALD AMBROSE
AD554206 · 09/06/1962 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | AD554206 |
| Date of Birth: | 09/06/1962 |
| Age: | 63 |
| Sex: | male |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (312) 509-0824 |
| Home Phone: | (773) 595-7871 |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
7719 S Phillips Ave
3rd Floor
Chicago, IL 60649 Coordinates: 41.7547719, -87.56478440000001
3rd Floor
Chicago, IL 60649 Coordinates: 41.7547719, -87.56478440000001
Home Health Nurse
CARE CONNECT HOME HEALTHCARE
| Phone: | 773-283-8458 |
| Fax: | 773-283-8488 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
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Payment RateRemittance Claims
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