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FOR BHF USE LL1 2011 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2011) I. DPH License ID Number:

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How to fill out idph license id number

01

Step 1: Obtain the IDPH License ID form from the official website or the local IDPH office.

02

Step 2: Read the instructions provided with the form carefully.

03

Step 3: Gather all the required documents and information needed to fill out the form. This may include personal identification documents, educational certificates, and any relevant work experience details.

04

Step 4: Start filling out the form by entering your personal information such as full name, address, contact number, and email address.

05

Step 5: Provide the necessary details about your educational background, including the institutions attended, degrees obtained, and any certifications or licenses held.

06

Step 6: Indicate your work experience by providing details of your previous employment, including the job titles, dates of employment, and responsibilities.

07

Step 7: Fill in the required information about any disciplinary actions or criminal history, if applicable.

08

Step 8: Double-check all the entered information for accuracy and completeness.

09

Step 9: Sign and date the form in the designated spaces.

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Step 10: Submit the completed form along with any required supporting documents to the IDPH office either in person or by mail.

11

Step 11: Wait for the IDPH to process your application. You may receive a confirmation or a request for further information.

12

Step 12: Once approved, you will be issued an IDPH License ID number.

Who needs idph license id number?

01

Healthcare professionals such as doctors, nurses, pharmacists, and medical technicians who wish to practice in the state of Illinois require an IDPH License ID number.

02

Individuals seeking to work in healthcare facilities, including hospitals, clinics, and long-term care facilities, may need an IDPH License ID number.

03

Students pursuing healthcare-related courses or programs that involve clinical rotations or internships may be required to obtain an IDPH License ID number.

04

Medical professionals who are relocating or seeking employment in Illinois may need to obtain an IDPH License ID number.

05

Certain healthcare employment agencies or organizations may also require individuals to have an IDPH License ID number.

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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 facilities.

Who is required to file idph license id number?

All healthcare facilities licensed by the Illinois Department of Public Health are required to file for an idph license id number.

How to fill out idph license id number?

Healthcare facilities can fill out the idph license id number application online on the Illinois Department of Public Health website.

What is the purpose of idph license id number?

The purpose of the idph license id number is to accurately identify and track licensed healthcare facilities in Illinois.

What information must be reported on idph license id number?

The idph license id number application requires basic information about the healthcare facility, such as name, address, type of facility, and contact information.

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