BERNICE DOUGLAS
On HoldDetails
Basic Information
| Patient Record Number: | DB412267 |
| Date of Birth: | 03/23/1932 |
| Age: | 93 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (773) 896-3038 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 02/23/2024 |
Address Information
8456 S Damen Ave
Chicago, IL 60620 Coordinates: 41.7394893, -87.67316199999999
Chicago, IL 60620 Coordinates: 41.7394893, -87.67316199999999
Home Health Nurse
CHICAGO HEALTH
| Phone: | 847-390-8001 |
| Fax: | 847-390-8000 |
| 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
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Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient On Hold
Hold Reason: No Certification on Practice Fusion
Hold Since: 07/03/2025
Hold Until: Indefinite