LUKE GRAY JR

Active
Details
Basic Information
Patient Record Number: GL697109
Date of Birth: 04/24/1951
Age: 74
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 632-6162
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 04/25/2022
Address Information
5733 S PEORIA ST
NUM 2
Chicago, IL 60621
Coordinates: 41.7896607, -87.6471858
Home Health Nurse
CROWN HOME HEALTH AGENCY
Phone: 773-481-1778
Fax: 773-481-1353
Status: Inactive
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
06/24/2022 - 08/22/2022
Expired
04/25/2022
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
06/24/2022 08/22/2022 Expired N/A 04/25/2022