THOMAS BROCK
On HoldDetails
Basic Information
| Patient Record Number: | BT199390 |
| Date of Birth: | 07/21/1949 |
| Age: | 76 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (773) 289-7071 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
Address Information
4952 W THOMAS ST
624
Chicago, IL 60651 Coordinates: 41.901308, -87.75041709999999
624
Chicago, IL 60651 Coordinates: 41.901308, -87.75041709999999
Home Health Nurse
COMMUNITY CARE HOME HEALTH SERVICES
| Phone: | 708-410-2601 |
| Fax: | 708-410-2605 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Appointments
Certifications
No certifications found
Discharge History
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Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient On Hold
Hold Reason: no 485 in PF
Hold Since: 07/03/2025
Hold Until: Indefinite