GUSTAVO ARZETA
On HoldDetails
Basic Information
| Patient Record Number: | AG152264 |
| Date of Birth: | 11/25/1955 |
| Age: | 70 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (630) 822-0130 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 03/19/2025 |
Address Information
618 Rozanne Dr
Addison, IL 60101 Coordinates: 41.9387101, -87.99332559999999
Addison, IL 60101 Coordinates: 41.9387101, -87.99332559999999
Home Health Nurse
SELF REFERRAL
| Phone: | N/A |
| Fax: | N/A |
| Status: | Active |
Medicare Part B Deductible
Current Year (2025)
| Total Deductible: | $257.00 |
| Remaining: | $257.00 |
Annual Wellness Visit
Overdue
(1507 days ago)
(1507 days ago)
| Next Due Date: | 11/01/2021 |
Appointments
Certifications
No certifications found
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient On Hold
Hold Reason: self referral
Hold Since: 06/20/2025
Hold Until: Indefinite