CP
CLARENCE PRICE JR
PC127509 · 12/08/1949 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | PC127509 |
| Date of Birth: | 12/08/1949 |
| Age: | 76 |
| Sex: | male |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (708) 385-3347 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
12520 FAIRVIEW AVE.,
Blue Island, IL 60406 Coordinates: 41.6655233, -87.68906109999999
Blue Island, IL 60406 Coordinates: 41.6655233, -87.68906109999999
Home Health Nurse
A2Z HEALTHCARE SERVICES
| Phone: | 708-428-6135 |
| Fax: | 708-332-9070 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
Total Paid-
Denials-
Payment RateRemittance Claims
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