MINHUA SU

On Hold
Details
Basic Information
Patient Record Number: MS737108
Date of Birth: 06/16/1930
Age: 95
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (312) 912-5432
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 11/01/2022
Address Information
1504 W Van Buren St
APT 315
Chicago, IL 60607
Coordinates: 41.8765734, -87.6648247
Home Health Nurse
SYMMETRIX HOME HEALTHCARE
Phone: 847-430-6770
Fax: 847-430-6771
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
11/13/2022 - 01/11/2023
Expired
SOC: 09/14/2022
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
11/13/2022 01/11/2023 Expired N/A SOC: 09/14/2022
Patient On Hold
Hold Reason: no poc 2025
Hold Since: 07/03/2025
Hold Until: Indefinite