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FOR OF USELL1
2002STATE OF ILLINOIS
DEPARTMENT OF PUBLIC AID
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2002)I.DPH Facility ID Number:
Facility Name:0020842II.IMPORTANT
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Fax 773 928-9154 refers to a specific fax number used for submitting certain documents or forms related to a particular process, likely concerning tax or regulatory compliance.
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