DORIS MATTALIANO

Active
Details
Basic Information
Patient Record Number: MD830700
Date of Birth: 07/05/1933
Age: 92
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (708) 543-4249
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 04/26/2022
Address Information
11119 S AVENUE D
Chicago, IL 60617
Coordinates: 41.69301590000001, -87.52797699999999
Home Health Nurse
EXCELL HOME HEALTH PLUS
Phone: 708-400-8971
Fax: 708-867-0400
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
04/13/2022 - 06/11/2022
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
04/13/2022 06/11/2022 Expired N/A N/A