ST

SHIRLEY TALLEY

TS739374 · 09/22/1941 · Updated 03/09/2026
Active PF
Basic Information
Patient Record Number: TS739374
Date of Birth: 09/22/1941
Age: 84
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/09/2026 07:12 PM
Contact Information
Mobile Phone: (872) 232-2005
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 06/14/2022
Address Information
1907 E 93RD ST
Chicago, IL 60617
Coordinates: 41.7258494, -87.5775268
Home Health Nurse
1ST ASSIST HOME HEALTHCARE
Phone: 630-339-3690
Fax: 630-339-3688
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

No wellness visit information available

Certifications
09/12/2022 - 11/10/2022
Expired
SOC: 07/14/2022
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
09/12/2022 11/10/2022 Expired N/A SOC: 07/14/2022
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 7577b05e-4e65-47f9-8...
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

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Total Paid

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Denials

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Payment Rate
Remittance Claims
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