RALPH CARL

Active
Details
Basic Information
Patient Record Number: CR460318
Date of Birth: 11/18/1932
Age: 93
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (770) 402-8480
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 07/29/2022
Address Information
23250 TIERI LN
Steger, IL 60475
Coordinates: 41.466353, -87.6627891
Home Health Nurse
AUXILIUM HEALTHCARE SERVICES
Phone: 224-632-1164
Fax: 224-765-0100
Status: Inactive
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
07/23/2022 - 09/20/2022
Expired
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
07/23/2022 09/20/2022 Expired N/A N/A