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FOR BHF USE LL1 2012 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2012) I. DPH License ID Number:
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HFS 3745 n-4-99 il478-2471 is a form used for reporting certain information to the Illinois Department of Healthcare and Family Services.
Healthcare providers, facilities, or organizations that are required to report specific information as outlined by the Illinois Department of Healthcare and Family Services.
The form should be completed following the instructions provided by the Illinois Department of Healthcare and Family Services, ensuring all required information is accurately reported.
The purpose of the form is to collect important information for regulatory or informational purposes related to healthcare and family services in Illinois.
The specific information required to be reported on the form can vary, but generally, it includes data related to healthcare services and patients.
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