ROSEMARY PETRICH

Active
Details
Basic Information
Patient Record Number: PR78373
Date of Birth: 10/18/1932
Age: 93
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (717) 460-5275
Home Phone: (708) 862-9295
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 11/04/2024
Address Information
14200 S BURNHAM AVE
Chicago, IL 60633
Coordinates: 41.6369884, -87.54002
Home Health Nurse
ADVANCE HOME HEALTH INC
Phone: 630-545-0208
Fax: 630-545-0179
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Appointments
Certifications
08/05/2024 - 10/03/2024
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
08/05/2024 10/03/2024 Expired N/A N/A