JERRY NELLUM

Active
Details
Basic Information
Patient Record Number: NJ184591
Date of Birth: 07/16/1990
Age: 35
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (312) 487-8891
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 09/22/2023
Address Information
4 W 37TH ST
APT 203
Chicago, IL 60609
Coordinates: 41.8275748, -87.6269087
Home Health Nurse
1ST ASSIST HOME HEALTHCARE
Phone: 630-339-3690
Fax: 630-339-3688
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
05/14/2022 - 07/12/2022
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
05/14/2022 07/12/2022 Expired N/A N/A