TOM KANE
On HoldDetails
Basic Information
| Patient Record Number: | KT504743 |
| Date of Birth: | 01/11/1937 |
| Age: | 88 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (312) 656-0632 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 04/18/2025 |
Address Information
914 S School St
Mount Prospect, IL 60056 Coordinates: 42.0494029, -87.93136419999999
Mount Prospect, IL 60056 Coordinates: 42.0494029, -87.93136419999999
Home Health Nurse
SELF REFERRAL
| Phone: | N/A |
| Fax: | N/A |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Appointments
Certifications
No certifications found
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient On Hold
Hold Reason: self referral
Hold Since: 06/20/2025
Hold Until: Indefinite