MAMIE WASP

Active
Details
Basic Information
Patient Record Number: WM773686
Date of Birth: 04/27/1952
Age: 73
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (312) 937-8057
Home Phone: (773) 882-5775
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 12/12/2025
Address Information
8719 S KINGSTON AVE
Chicago, IL 60617
Coordinates: 41.7366209, -87.5621523
Home Health Nurse
CARE CONNECT HOME HEALTHCARE
Phone: 773-283-8458
Fax: 773-283-8488
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Last wellness visit: 12/12/2026
Appointments
Certifications
07/09/2025 - 09/06/2025
Expired
05/10/2025 - 07/08/2025
Expired
03/11/2025 - 05/09/2025
Expired
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
07/09/2025 09/06/2025 Expired N/A N/A
05/10/2025 07/08/2025 Expired N/A N/A
03/11/2025 05/09/2025 Expired N/A N/A