RENA CARLOCK
On HoldDetails
Basic Information
| Patient Record Number: | CR491533 |
| Date of Birth: | 05/18/1963 |
| Age: | 62 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (773) 673-1511 |
| Home Phone: | (773) 787-7211 |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 02/02/2024 |
Address Information
2601 S Prairie Avenue
Chicago, IL 60616 Coordinates: 41.84544229999999, -87.62014769999999
Chicago, IL 60616 Coordinates: 41.84544229999999, -87.62014769999999
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
Appointments
Certifications
No certifications found
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
Loading appointment history...
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