CLARENCE PRICE JR

Active
Details
Basic Information
Patient Record Number: PC127509
Date of Birth: 12/08/1949
Age: 76
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (708) 385-3347
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 04/15/2024
Address Information
12520 FAIRVIEW AVE
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

Appointments
Certifications
01/26/2024 - 03/25/2024
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
01/26/2024 03/25/2024 Expired N/A N/A