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FOR BHF USE LL1 2014 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2014) I. DPH License ID

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How to fill out idph license id number

How to fill out IDPH license ID number:

01

Begin by obtaining the necessary application form from the Illinois Department of Public Health (IDPH) website or local office.

02

Fill in your personal information such as name, address, phone number, and email address in the designated fields on the form.

03

Locate the section on the form specifically asking for the IDPH license ID number.

04

If you already have an IDPH license ID number, simply enter it accurately into the provided space.

05

If you do not have an IDPH license ID number yet, leave the space blank. You may need to provide additional information or documents to obtain one.

06

Follow any additional instructions provided on the form or on the IDPH website regarding the process of obtaining or updating a license ID number.

07

Check the form for accuracy and completeness before submitting it to the IDPH office or online portal.

08

If submitting the form physically, make sure to include any required fees, supporting documents, or signatures as specified.

09

If submitting the form online, follow the instructions on the IDPH website for submitting the form electronically.

10

Keep a copy of the completed form and any supporting documents for your records.

Who needs an IDPH license ID number:

01

Healthcare professionals: Doctors, nurses, pharmacists, dentists, medical assistants, and other healthcare providers who practice or operate in Illinois may need an IDPH license ID number.

02

Medical facilities: Hospitals, clinics, nursing homes, long-term care facilities, and other medical establishments in Illinois may need an IDPH license ID number for regulatory compliance.

03

Healthcare students: Students pursuing healthcare degrees or certifications in Illinois may require an IDPH license ID number for internships, clinical rotations, or licensure eligibility.

04

Healthcare educators: Instructors teaching healthcare-related courses or programs in Illinois may need an IDPH license ID number for accreditation or credentialing purposes.

05

Anyone providing healthcare services in Illinois: If you are engaged in providing healthcare services in any capacity within the state of Illinois, it is important to determine if you require an IDPH license ID number based on your specific role or occupation.

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What is idph license id number?

The idph license id number is a unique identification number assigned by the Illinois Department of Public Health to licensed healthcare providers.

Who is required to file idph license id number?

All healthcare providers licensed by the IDPH are required to file their license id number.

How to fill out idph license id number?

Healthcare providers can fill out their IDPH license id number on the IDPH website or submit it through their licensing application.

What is the purpose of idph license id number?

The purpose of the IDPH license id number is to easily identify and track licensed healthcare providers in Illinois.

What information must be reported on idph license id number?

The IDPH license id number typically includes the provider's name, license type, license number, and expiration date.

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