HS
HELEN SMITH
SH423912 · 07/04/1944 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | SH423912 |
| Date of Birth: | 07/04/1944 |
| Age: | 81 |
| Sex: | N/A |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (773) 664-8125 |
| Home Phone: | (773) 441-0473 |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
3163 S LITUANICA AVE
1ST FLR FRONT
Chicago, IL 60608 Coordinates: 41.8371608, -87.64828539999999
1ST FLR FRONT
Chicago, IL 60608 Coordinates: 41.8371608, -87.64828539999999
Home Health Nurse
HOLISTIC HEALTH PARTNERS
| Phone: | 866-441-0962 |
| Fax: | 708-260-2030 |
| Status: | Inactive |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
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Total Claims-
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Payment RateRemittance Claims
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