IC

IRA CHILDS

CI213617 · 11/07/1953 · Updated 01/14/2026
Active PF
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: 01/14/2026 06:46 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: 07/10/2023
Address Information
633 N CICERO AVE
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

Certifications
03/12/2023 - 05/10/2023
Expired
01/11/2023
Discharge History
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No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
03/12/2023 05/10/2023 Expired N/A 01/11/2023
Patient Documents
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Practice Fusion Link
Linked
PF GUID: b4486730-756c-40a1-a...
Linked At: 01/14/2026 18:46
Stored Transcripts

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Encounter History
Date Type Provider Chief Complaint Status Actions
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Total Claims

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Total Paid

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Denials

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Payment Rate
Remittance Claims
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