EF
EDGARDO FAJARDO
FE852193 · 04/25/1944 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | FE852193 |
| Date of Birth: | 04/25/1944 |
| Age: | 82 |
| Sex: | male |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (708) 769-6577 |
| Home Phone: | (630) 200-7613 |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
556 BARCLAY DR
Bolingbrook, IL 60440 Coordinates: 41.7094464, -88.1006187
Bolingbrook, IL 60440 Coordinates: 41.7094464, -88.1006187
Home Health Nurse
P.W. HOME HEALTH
| Phone: | 847-565-4173 |
| Fax: | 847-565-4170 |
| Status: | Inactive |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
Total Paid-
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Payment RateRemittance Claims
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