SS
SANDRA SIMON
SS940574 · 09/13/1955 · Updated 02/17/2026
Active
PF
Basic Information
| Patient Record Number: | SS940574 |
| Date of Birth: | 09/13/1955 |
| Age: | 70 |
| Sex: | female |
| SSN: | N/A |
| Medicare Number: | N/A |
| Last Updated: | 02/17/2026 07:31 PM |
Contact Information
| Mobile Phone: | (773) 404-8171 |
| Home Phone: | N/A |
| Email: | N/A |
| Emergency Contact: | N/A |
| Emergency Phone: | N/A |
| Last Seen: | 01/20/2026 |
Address Information
4250 N Marine Dr
Apt 1823
Chicago, IL 60613 Coordinates: 41.960147, -87.6476969
Apt 1823
Chicago, IL 60613 Coordinates: 41.960147, -87.6476969
Home Health Nurse
No Home Health Nurse assigned
Medicare Part B Deductible
Current Year (2026)
| Total Deductible: | $283.00 |
| Remaining: | $283.00 |
Annual Wellness Visit
No wellness visit information available
Certifications
No certifications found
Discharge History
View AllNo discharge history
Patient Actions
Appointment History
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485 Certifications
No 485 certifications found for this patient
Patient Documents
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Practice Fusion Link
Linked
| PF GUID: | 02f1ba60-f9d8-43a1-a... |
| Linked At: | 02/16/2026 14:48 |
Stored Transcripts
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Encounter History
| Date | Type | Provider | Chief Complaint | Status | Actions |
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Total Claims-
Total Paid-
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Payment RateRemittance Claims
| Service Date | Procedure | Provider | Billed | Allowed | Paid | Status | Remit Date |
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