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Revised Page 6. TRANSACTION TYPE. CHECK THE FOLLOWING THAT APPLY TO THE TRANSACTION: o Purchase resulting in the issuance of a license to an entity different from current licensee; o Lease resulting

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www.idph.state.il.us is the official website for the Illinois Department of Public Health (IDPH).

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Healthcare facilities, healthcare providers, and other organizations regulated by the IDPH are required to file reports on www.idph.state.il.us.

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The purpose of www.idph.state.il.us is to collect important public health data, monitor health trends, and ensure compliance with state regulations.

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