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FOR OF USELL1
2005
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2005)I.DPH Facility ID Number:
Facility Name:0022889II.IMPORTANT
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What is 40 north smith?
40 North Smith is a tax form used to report certain financial information to the government.
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