ED

EUGENE DANIEL

DE202149 · 06/08/1943 · Updated 02/17/2026
Active PF
Basic Information
Patient Record Number: DE202149
Date of Birth: 06/08/1943
Age: 82
Sex: male
SSN: N/A
Medicare Number: N/A
Last Updated: 02/17/2026 07:31 PM
Contact Information
Mobile Phone: (773) 842-4291
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 04/21/2022
Address Information
8152 S BRANDON AVE
Chicago, IL 60617
Coordinates: 41.7468794, -87.5470103
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

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Certifications
03/19/2022 - 05/17/2022
Expired
Discharge History
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Patient Actions
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485 Certifications
Start Date End Date Status Type Notes Actions
03/19/2022 05/17/2022 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 0d1a19e9-0da2-4760-a...
Linked At: 02/16/2026 14:48
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Encounter History
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