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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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How to fill out idph license id number

01

Step 1: Obtain the IDPH License ID Number application form.

02

Step 2: Fill out the application form accurately and completely.

03

Step 3: Provide all the required personal details such as name, address, contact information, etc.

04

Step 4: Include any necessary supporting documents or identification proof as specified in the application form instructions.

05

Step 5: Double-check all the information provided in the form for any errors or omissions.

06

Step 6: Sign and date the application form.

07

Step 7: Submit the completed application form along with the required fee to the IDPH office.

08

Step 8: Wait for the processing of your application and the issuance of an IDPH License ID Number.

09

Step 9: Once received, ensure to keep the IDPH License ID Number in a safe and easily accessible place.

Who needs idph license id number?

01

Healthcare professionals such as doctors, nurses, pharmacists, and other allied healthcare workers who are required to practice within the jurisdiction of the Illinois Department of Public Health (IDPH) need an IDPH License ID Number.

02

Furthermore, facilities or organizations operating in the healthcare industry, such as hospitals, clinics, and pharmacies, may also need to obtain an IDPH License ID Number.

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What is idph license id number?

The IDPH license ID number is a unique identifier assigned to healthcare facilities and providers by the Illinois Department of Public Health.

Who is required to file idph license id number?

Healthcare facilities and providers in Illinois are required to file an IDPH license ID number.

How to fill out idph license id number?

To fill out the IDPH license ID number, healthcare facilities and providers can contact the Illinois Department of Public Health for assistance.

What is the purpose of idph license id number?

The purpose of the IDPH license ID number is to track and monitor healthcare facilities and providers in Illinois.

What information must be reported on idph license id number?

The IDPH license ID number may require reporting of facility or provider information such as name, address, and type of services offered.

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