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PRINTED: 09/15/2015 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION

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The Illinois Department of Public Health is a state agency responsible for protecting and improving the health of Illinois residents.

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Healthcare facilities, healthcare providers, and certain other entities are required to file reports with the Illinois Department of Public Health.

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The Illinois Department of Public Health provides online forms and guidance on how to fill out and submit reports.

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The purpose of the Illinois Department of Public Health is to monitor and address public health issues to ensure the well-being of the people of Illinois.

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Information on diseases, outbreaks, healthcare-associated infections, and other public health data must be reported to the Illinois Department of Public Health.

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