RUBY BLAIR

On Hold
Details
Basic Information
Patient Record Number: BR390512
Date of Birth: 08/10/1933
Age: 92
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: N/A
Home Phone: (773) 469-2179
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 09/27/2022
Address Information
7234 S WOOD ST
Chicago, IL 60636
Coordinates: 41.7620121, -87.66884329999999
Home Health Nurse
CENTRAL HEALTHCARE
Phone: 708-924-0501
Fax: 708-924-0500
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
08/09/2022 - 10/07/2022
Expired
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
08/09/2022 10/07/2022 Expired N/A N/A
Patient On Hold
Hold Reason: no poc
Hold Since: 07/03/2025
Hold Until: Indefinite