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FOR BHF USE LL1 2006 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT FOR LONG-TERM CARE FACILITIES (FISCAL YEAR 2006) I. DPH Facility ID Number: Facility

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How to fill out 1525 South Oxford Lane:

1. Begin by writing your full name in the "Name" field on the form.
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4. Enter the appropriate state or province abbreviation in the "State" field.
5. Fill in the "Zip Code" or "Postal Code" based on the format required by the form.
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