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STATE OF ILLINOIS Health Care Professional Re credentialing and Business Data Gathering Form The Health Care Professional Credentials Data Collection Act 410 ILLS 517 requires that this form be collected
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idphrecredentialingform97prodoc is a credentialing form used by IDPH (Illinois Department of Public Health) for healthcare professionals.
Healthcare professionals in Illinois who are seeking credentialing or re-credentialing are required to file idphrecredentialingform97prodoc.
IDPH provides instructions on how to fill out idphrecredentialingform97prodoc on their website.
The purpose of idphrecredentialingform97prodoc is to collect necessary information about healthcare professionals for credentialing purposes.
Information such as education, work experience, licensure, certifications, and professional references must be reported on idphrecredentialingform97prodoc.
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