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OI816708 · 06/06/1947 · Updated 02/17/2026
Active PF
Basic Information
Patient Record Number: OI816708
Date of Birth: 06/06/1947
Age: 78
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 02/17/2026 07:31 PM
Contact Information
Mobile Phone: N/A
Home Phone: (708) 964-7814
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 02/22/2022
Address Information
16650 RIDGELAND AVE
Tinley Park, IL 60477
Coordinates: 41.58834350000001, -87.7754475
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

Certifications
02/13/2022 - 04/13/2022
Expired
12/15/2021
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
02/13/2022 04/13/2022 Expired N/A 12/15/2021
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 98cb3b54-9758-41c2-a...
Linked At: 02/16/2026 14:48
Stored Transcripts

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Encounter History
Date Type Provider Chief Complaint Status Actions
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Total Claims

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Total Paid

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Denials

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Payment Rate
Remittance Claims
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