SIMONE JOHNSON MCKINNIE

On Hold
Details
Basic Information
Patient Record Number: JS245173
Date of Birth: 10/31/1960
Age: 65
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (708) 882-1022
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 11/27/2023
Address Information
1741 E 73RD PL
Apt 1A
Chicago, IL 60649
Coordinates: 41.7613646, -87.581925
Home Health Nurse
ACACIA HOME HEALTH
Phone: 630-613-8757
Fax: 630-613-8747
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
09/10/2023 - 11/08/2023
Expired
SOC: 01/13/2023
Discharge History
View All

No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
09/10/2023 11/08/2023 Expired N/A SOC: 01/13/2023
Patient On Hold
Hold Reason: no poc for 2025
Hold Since: 07/03/2025
Hold Until: Indefinite