BS
BERNICE SMITH
SB52463 · 04/04/1957 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | SB52463 |
| Date of Birth: | 04/04/1957 |
| Age: | 69 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (773) 801-1009 |
| Home Phone: | (773) 691-6798 |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
3946 W CONGRESS PKWY
APT 1
Chicago, IL 60624 Coordinates: 41.8746383, -87.72489639999999
APT 1
Chicago, IL 60624 Coordinates: 41.8746383, -87.72489639999999
Home Health Nurse
HOME LIFE HEALTHCARE
| Phone: | 847-908-9011 |
| Fax: | 847-413-1611 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
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Patient Actions
Appointment History
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Patient Documents
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Total Claims-
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Payment RateRemittance Claims
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