HENRY JACKSON

Active
Details
Basic Information
Patient Record Number: JH482769
Date of Birth: 12/09/1946
Age: 79
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 590-3898
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 11/25/2025
Address Information
6720 S Cornell Ave
Apt 407
Chicago, IL 60649
Coordinates: 41.7727227, -87.5853391
Home Health Nurse
CARE CONNECT HOME HEALTHCARE
Phone: 773-283-8458
Fax: 773-283-8488
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Due in 15 days
Next Due Date: 01/01/2026
Appointments
Certifications
05/14/2025 - 07/12/2025
Expired
soc 01/14/2025
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
05/14/2025 07/12/2025 Expired N/A soc 01/14/2025