QS
QUEEN SPENCER
SQ950279 · 09/01/1935 · Updated 04/14/2026
Active
Basic Information
| Patient Record Number: | SQ950279 |
| Date of Birth: | 09/01/1935 |
| Age: | 90 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/14/2026 12:25 PM |
Contact Information
| Mobile Phone: | (773) 891-0101 |
| Home Phone: | (773) 630-2549 |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
6450 S MARYLAND AVE
Chicago, IL 60637 Coordinates: 41.7771407, -87.6049481
Chicago, IL 60637 Coordinates: 41.7771407, -87.6049481
Home Health Nurse
ASSURECARE HOME HEALTH
| Phone: | 888-847-4991 |
| Fax: | 847-740-1955 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
Last wellness visit: 10/01/2026
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
Total Paid-
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Payment RateRemittance Claims
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