DOULAT ALI
On HoldDetails
Basic Information
| Patient Record Number: | DA195406 |
| Date of Birth: | 12/25/1947 |
| Age: | 77 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (773) 366-2388 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 04/17/2024 |
Address Information
1818 W Peterson Ave
Chicago, IL 60660 Coordinates: 41.9910869, -87.6759704
Chicago, IL 60660 Coordinates: 41.9910869, -87.6759704
Home Health Nurse
OPTIMUM HEALTHCARE SERVICES
| Phone: | 773-878-8753 |
| Fax: | 773-878-8738 |
| 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
View AllNo discharge history
Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient On Hold
Hold Reason: no 485 on PF
Hold Since: 07/03/2025
Hold Until: Indefinite