LILLIE ROUNDS

On Hold
Details
Basic Information
Patient Record Number: RL406147
Date of Birth: 06/14/1953
Age: 72
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (312) 834-5973
Home Phone: (773) 703-9923
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 12/08/2025
Address Information
936 E 47th ST
apt 207
Chicago, IL 60653
Coordinates: 41.8098754, -87.6024757
Home Health Nurse
GOLDEN HAVEN HOME HEALTH
Phone: 708-358-1240
Fax: 708-358-1267
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Last wellness visit: 02/01/2026
Appointments
Certifications
03/14/2025 - 05/12/2025
Expired
Discharge History
View All

No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
03/14/2025 05/12/2025 Expired N/A N/A
Patient On Hold
Hold Reason: 2024 recert
Hold Since: 06/25/2025
Hold Until: Indefinite