TERRACE JOHNSON

Active
Details
Basic Information
Patient Record Number: JT615990
Date of Birth: 09/11/1960
Age: 65
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 954-0946
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 10/28/2025
Address Information
1134 S Wood St
Apt 710
Chicago, IL 60612
Coordinates: 41.8674063, -87.67165949999999
Home Health Nurse
1ST ASSIST HOME HEALTHCARE
Phone: 630-339-3690
Fax: 630-339-3688
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
02/28/2024 - 04/27/2024
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
02/28/2024 04/27/2024 Expired N/A N/A