IC
IRA CHILDS
CI213617 · 11/07/1953 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | CI213617 |
| Date of Birth: | 11/07/1953 |
| Age: | 72 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (312) 459-7384 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
633 N CICERO AVE
2nd Floor
Chicago, IL 60644 Coordinates: 41.8924451, -87.7453747
2nd Floor
Chicago, IL 60644 Coordinates: 41.8924451, -87.7453747
Home Health Nurse
HOLISTIC HEALTH PARTNERS
| Phone: | 866-441-0962 |
| Fax: | 708-260-2030 |
| Status: | Inactive |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
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Total Claims-
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Payment RateRemittance Claims
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