IJ
IDA JOHNSON LEE
JI37804 · 07/27/1957 · Updated 05/18/2026
Active
Basic Information
| Patient Record Number: | JI37804 |
| Date of Birth: | 07/27/1957 |
| Age: | 68 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 05/18/2026 09:29 PM |
Contact Information
| Mobile Phone: | (708) 407-4968 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
1921 S HARDING AVE
APT 2W
Chicago, IL 60623 Coordinates: 41.8542999, -87.7233097
APT 2W
Chicago, IL 60623 Coordinates: 41.8542999, -87.7233097
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
Last wellness visit: 03/02/2027
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
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Payment RateRemittance Claims
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