LP

L RENEE PORTER

PL564201 · 10/12/1948 · Updated 04/10/2026
Active
Basic Information
Patient Record Number: PL564201
Date of Birth: 10/12/1948
Age: 77
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 04/10/2026 05:29 PM
Contact Information
Mobile Phone: (773) 427-7083
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: Never
Provider: Kalpana Mutyala
Address Information
6461 W Warner Ave.
415
Chicago, IL 60634
Coordinates: 41.957204, -87.7872366
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

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Discharge History
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Total Claims

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Total Paid

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Remittance Claims
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