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Active
Details
Basic Information
Patient Record Number: PS791337
Date of Birth: 04/26/1935
Age: 90
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (708) 582-1576
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 12/10/2025
Address Information
108 MORRISE AVE
Bellwood, IL 60104
Coordinates: 41.890452, -87.88151289999999
Home Health Nurse
PRESTIGE HOME HEALTH SERVICES
Phone: 773-693-0110
Fax: 773-693-0100
Status: Active
Medicare Part B Deductible
Current Year (2026)
Total Deductible: $283.00
Remaining: $283.00
Last updated: 12/16/2025
Annual Wellness Visit
Last wellness visit: 04/01/2026
Appointments
Certifications
04/06/2025 - 06/04/2025
Expired
soc 08/09/2024
02/05/2025 - 04/05/2025
Expired
12/07/2024 - 02/04/2025
Expired
And 1 more...
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
04/06/2025 06/04/2025 Expired N/A soc 08/09/2024
02/05/2025 04/05/2025 Expired N/A N/A
12/07/2024 02/04/2025 Expired N/A N/A
10/08/2024 12/06/2024 Expired N/A N/A