Samin Massoumi
On HoldDetails
Basic Information
| Patient Record Number: | MS519112 |
| Date of Birth: | 06/15/2003 |
| Age: | 22 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (708) 737-9494 |
| Home Phone: | N/A |
| Email: | mimimassoumi@icloudcom |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
Address Information
1409 Thatcher Ave
River Forest, IL 60305 Coordinates: 41.9052943, -87.8245735
River Forest, IL 60305 Coordinates: 41.9052943, -87.8245735
Home Health Nurse
No Home Health Nurse assigned
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Appointments
Certifications
No certifications found
Discharge History
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Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient On Hold
Hold Reason: no notes
Hold Since: 06/19/2025
Hold Until: Indefinite