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FOR OH FUSE LL1 2004 STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2004) I. DPH Facility ID Number: Facility Name: 0020255
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Fax 217-762-6325 - hfs is a form used for submitting information to the Illinois Department of Healthcare and Family Services.
Healthcare providers and facilities in Illinois are required to file fax 217-762-6325 - hfs.
Fax 217-762-6325 - hfs can be filled out by providing the requested information accurately and completely as per the instructions provided with the form.
The purpose of fax 217-762-6325 - hfs is to collect important data related to healthcare services and payments in Illinois.
Information such as provider details, patient demographics, services provided, and payment details must be reported on fax 217-762-6325 - hfs.
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