TERESA LOPEZ

On Hold
Details
Basic Information
Patient Record Number: LT867350
Date of Birth: 05/03/1935
Age: 90
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 470-5016
Home Phone: (773) 778-5683
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 10/30/2025
Address Information
3535 W 65th St Chicago
Chicago, IL 60629
Coordinates: 41.7749782, -87.71177759999999
Home Health Nurse
DELTA HOME HEALTH CARE
Phone: 630-472-0521
Fax: 630-472-0122
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
05/16/2025 - 07/14/2025
Expired
03/17/2025 - 05/15/2025
Expired
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
05/16/2025 07/14/2025 Expired N/A N/A
03/17/2025 05/15/2025 Expired N/A N/A
Patient On Hold
Hold Reason: No 485 in PF
Hold Since: 07/03/2025
Hold Until: Indefinite