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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 52525 WEST JEFFERSON ST. SPRINGFIELD, ILLINOIS 62761 (217) 782-3516 FAX: (217) 785-4111 DOCKET NO: BOARD MEETING: PROJECT NO: H-4 June
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Who needs h-4 Woodlawn Dialysis Chicago?

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Individuals with end-stage renal disease (ESRD) who require dialysis treatment.
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Patients in the Woodlawn area of Chicago who are seeking dialysis services specifically at the Woodlawn Dialysis Center.
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Individuals who have been advised by their healthcare provider to undergo dialysis at the Woodlawn Dialysis Center.
It is important to note that the h-4 Woodlawn Dialysis Chicago form is specific to the Woodlawn Dialysis Center in Chicago and may not be applicable to other dialysis centers or locations.
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H-4 Woodlawn Dialysis Chicago is a form used to report certain financial information.
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The H-4 Woodlawn Dialysis Chicago form requires reporting of specific financial details as outlined in the instructions.
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