DONALD ELLIS

Active
Details
Basic Information
Patient Record Number: ED580878
Date of Birth: 03/22/1957
Age: 68
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 536-6936
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 04/03/2024
Address Information
4655 W Berteau Ave
106
Chicago, IL 60641
Coordinates: 41.9562284, -87.7448841
Home Health Nurse
EXCELL HOME HEALTH PLUS
Phone: 708-400-8971
Fax: 708-867-0400
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
11/08/2023 - 01/06/2024
Expired
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
11/08/2023 01/06/2024 Expired N/A N/A