SS

SAMANTHA SMITH

SS498074 · 11/12/1969 · Updated 02/17/2026
Active PF
Basic Information
Patient Record Number: SS498074
Date of Birth: 11/12/1969
Age: 56
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 02/17/2026 07:31 PM
Contact Information
Mobile Phone: (630) 826-9340
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 03/06/2025
Address Information
812 Dunham Ln,
Bolingbrook, IL 60440
Coordinates: 41.7272117, -88.04121959999999
Home Health Nurse
JOURNEY ADDUS HOME HEALTH
Phone: 630-559-1544
Fax: 773-233-3337
Status: Inactive
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Certifications
12/12/2024 - 02/09/2025
Expired
SOC: 06/21/2023
Discharge History
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No discharge history

Patient Actions
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485 Certifications
Start Date End Date Status Type Notes Actions
12/12/2024 02/09/2025 Expired N/A SOC: 06/21/2023
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 859358f0-03f8-4a41-b...
Linked At: 02/16/2026 14:48
Stored Transcripts

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Encounter History
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Remittance Claims
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