DIANE ELLIS

Active
Details
Basic Information
Patient Record Number: ED145325
Date of Birth: 05/31/1955
Age: 70
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 874-4948
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 12/09/2021
Address Information
8200 S Wabash ave
Chicago, IL 60619
Coordinates: 41.7453659, -87.6232745
Home Health Nurse
ALPHAZETA HEALTHCARE SERVICES
Phone: 773-481-1211
Fax: 773-481-1111
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
12/26/2021 - 02/23/2022
Expired
08/28/2021
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
12/26/2021 02/23/2022 Expired N/A 08/28/2021