RP
ROSEMARY PETRICH
PR78373 · 10/18/1932 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | PR78373 |
| Date of Birth: | 10/18/1932 |
| Age: | 93 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
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: | Never |
| Provider: | Kalpana Mutyala |
Address Information
14200 S BURNHAM AVE
Chicago, IL 60633 Coordinates: 41.6369884, -87.54002
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
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
Loading appointment history...
Patient Documents
Loading documents...
-
Total Claims-
Total Paid-
Denials-
Payment RateRemittance Claims
| Service Date | Procedure | Provider | Billed | Allowed | Paid | Status | Remit Date |
|---|---|---|---|---|---|---|---|
| Loading billing data... | |||||||