DE

DIANE ELLIS

ED145325 · 05/31/1955 · Updated 04/10/2026
Active
Basic Information
Patient Record Number: ED145325
Date of Birth: 05/31/1955
Age: 70
Sex: N/A
SSN: N/A
Medicare Number: N/A
Last Updated: 04/10/2026 05:29 PM
Contact Information
Mobile Phone: (773) 874-4948
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: Never
Provider: Arvie Calabazaron
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

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