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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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What is fax 217-762-6325 - hfs?
Fax 217-762-6325 - hfs is a form used for submitting information to the Illinois Department of Healthcare and Family Services.
Who is required to file fax 217-762-6325 - hfs?
Healthcare providers and facilities in Illinois are required to file fax 217-762-6325 - hfs.
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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.
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The purpose of fax 217-762-6325 - hfs is to collect important data related to healthcare services and payments in Illinois.
What information must be reported on fax 217-762-6325 - hfs?
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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