RS
RENUKA SHAH
SR528673 · 08/24/1944 · Updated 04/10/2026
Active
Basic Information
| Patient Record Number: | SR528673 |
| Date of Birth: | 08/24/1944 |
| Age: | 81 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 04/10/2026 05:29 PM |
Contact Information
| Mobile Phone: | (847) 769-0795 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | Never |
| Provider: | Kalpana Mutyala |
Address Information
1270 E Golf Rd,
Apt. 405
Des Plaines, IL 60016 Coordinates: 42.0554467, -87.8934962
Apt. 405
Des Plaines, IL 60016 Coordinates: 42.0554467, -87.8934962
Home Health Nurse
GOOD LIFE HOME HEALTHCARE
| Phone: | 773-561-4526 |
| Fax: | 773-561-8085 |
| Status: | Active |
Medicare Part B Deductible
No deductible information available
Annual Wellness Visit
No wellness visit information available
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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Patient Documents
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Total Claims-
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Payment RateRemittance Claims
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