EMELITA ALCARAZ

On Hold
Details
Basic Information
Patient Record Number: AE270112
Date of Birth: 03/16/1946
Age: 79
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (630) 222-9976
Home Phone: (224) 676-8518
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 12/27/2022
Address Information
1107 SAINT CLAIR LN
Vernon Hills, IL 60061
Coordinates: 42.2254648, -87.99161819999999
Home Health Nurse
ST. RITA HOME HEALTHCARE
Phone: 847-378-8337
Fax: 847-378-8440
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
11/05/2022 - 01/03/2023
Expired
SOC: 09/06/2022
Discharge History
View All

No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
11/05/2022 01/03/2023 Expired N/A SOC: 09/06/2022
Patient On Hold
Hold Reason: no poc 2025
Hold Since: 07/03/2025
Hold Until: Indefinite