SHIRLEY TALLEY

Active
Details
Basic Information
Patient Record Number: TS739374
Date of Birth: 09/22/1941
Age: 84
Sex: N/A
SSN: N/A
Medicare Number: N/A
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

Appointments
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