EDYTHE SMITH
On HoldDetails
Basic Information
| Patient Record Number: | SE630482 |
| Date of Birth: | 02/27/1936 |
| Age: | 89 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
Contact Information
| Mobile Phone: | (773) 324-2790 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 05/06/2025 |
Address Information
6945 S MERRILL AVE
Chicago, IL 60649 Coordinates: 41.7684904, -87.5723926
Chicago, IL 60649 Coordinates: 41.7684904, -87.5723926
Home Health Nurse
AWESOME HOME HEALTHCARE
| Phone: | 773-840-3127 |
| Fax: | 773-840-3386 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Appointments
Certifications
No certifications found
Discharge History
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Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient On Hold
Hold Reason: inactive patient
Hold Since: 06/30/2025
Hold Until: Indefinite