QUEEN SPENCER

Active
Details
Basic Information
Patient Record Number: SQ950279
Date of Birth: 09/01/1935
Age: 90
Sex: N/A
SSN: N/A
Medicare Number: N/A
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: 12/10/2025
Address Information
6450 S MARYLAND AVE
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
Appointments
Certifications
01/03/2025 - 03/03/2025
Expired
SOC 11/04/2024
Discharge History
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No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
01/03/2025 03/03/2025 Expired N/A SOC 11/04/2024