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FOR OF USELL1 2004STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2004) I.DPH Facility ID Number: Facility Name:0016634II.CERTIFICATION

How to fill out fax 773 549-2036

How to fill out fax 773 549-2036

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What is fax 773 549-2036?

Fax 773 549-2036 is a number used for submitting documents via fax machine.

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Entities or individuals required to submit specific documents to the recipient of fax 773 549-2036.

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