MS

MATTIE SHAW

SM168932 · 09/18/1936 · Updated 04/10/2026
Active
Basic Information
Patient Record Number: SM168932
Date of Birth: 09/18/1936
Age: 89
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 04/10/2026 05:29 PM
Contact Information
Mobile Phone: (630) 414-8417
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: Never
Provider: Jinu Joss
Address Information
6705 Cedar Ln
Westmont, IL 60559
Coordinates: 41.8642658, -87.7188697
Home Health Nurse
ADVANCE HOME HEALTH INC
Phone: 630-545-0208
Fax: 630-545-0179
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Overdue
(3411 days ago)
Next Due Date: 02/01/2017
Discharge History
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No discharge history

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Remittance Claims
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