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FOR BHF USELL1 2016 STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2016)I.DPH License ID Number:
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Fax 815 369 is a form used for reporting certain financial information to the relevant authorities.
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Fax 815 369 can be filled out online or manually by providing the required financial information in the designated fields.
The purpose of fax 815 369 is to provide financial information for regulatory or compliance purposes.
Information such as income, expenses, assets, and liabilities may need to be reported on fax 815 369.
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