INDIRABEN SHAH

Active
Details
Basic Information
Patient Record Number: SI855292
Date of Birth: 06/22/1948
Age: 77
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (847) 414-2807
Home Phone: (847) 414-2890
Email: shahdipakr@gmailcom
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 11/19/2025
Address Information
2012 Fountain Grass Ct
Bartlett, IL 60103
Coordinates: 41.9949112, -88.2518891
Home Health Nurse
AVESEENA HOME HEALTH
Phone: N/A
Fax: 630-833-2487
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Due in 15 days
Next Due Date: 01/01/2026
Appointments
Certifications
07/04/2025 - 09/01/2025
Expired
05/05/2025 - 07/03/2025
Expired
SOC: 3/06/2025
03/06/2025 - 05/04/2025
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
07/04/2025 09/01/2025 Expired N/A N/A
05/05/2025 07/03/2025 Expired N/A SOC: 3/06/2025
03/06/2025 05/04/2025 Expired N/A N/A