MARY JOHNSON

Active
Details
Basic Information
Patient Record Number: JM889256
Date of Birth: 02/26/1941
Age: 84
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 430-1220
Home Phone: (773) 379-6965
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 10/29/2025
Address Information
4823 WEST RACE AVE
Chicago, IL 60644
Coordinates: 41.8902901, -87.7466917
Home Health Nurse
EXCELL HOME HEALTH PLUS
Phone: 708-400-8971
Fax: 708-867-0400
Status: Active
Medicare Part B Deductible
Current Year (2025)
Total Deductible: $257.00
Remaining: $0.00 ✓ Deductible Met
Last updated: 08/14/2025
Annual Wellness Visit
Overdue
(78 days ago)
Next Due Date: 09/30/2025
Appointments
Certifications
04/30/2025 - 06/28/2025
Expired
03/01/2025 - 04/29/2025
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
04/30/2025 06/28/2025 Expired N/A N/A
03/01/2025 04/29/2025 Expired N/A N/A