FS
FLORENCE SHY
SF526376 · 01/23/1933 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | SF526376 |
| Date of Birth: | 01/23/1933 |
| Age: | 93 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (773) 213-4196 |
| Home Phone: | N/A |
| Email: | glorymbee@aol.com |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
12765 S Wallace St
Chicago, IL 60628 Coordinates: 41.66135149999999, -87.63625019999999
Chicago, IL 60628 Coordinates: 41.66135149999999, -87.63625019999999
Home Health Nurse
Good Health Home Care
| Phone: | 773-933-6020 |
| Fax: | 773-933-7980 |
| Status: | Active |
Medicare Part B Deductible
Current Year (2026)
| Total Deductible: | $283.00 |
| Remaining: | $161.92 |
Annual Wellness Visit
Last wellness visit: 12/01/2026
Discharge History
View AllNo discharge history
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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