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FOR OF USELL1 2001STATE OF ILLINOIS DEPARTMENT OF PUBLIC AID FINANCIAL AND STATISTICAL REPORT FOR LONGER CARE FACILITIES (FISCAL YEAR 2001)I.DPH Facility ID Number: Facility Name:0013896II.CERTIFICATION
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The 'ST Matformw Luformran Home' refers to a specific form used for tax reporting, commonly associated with state or municipal tax obligations.
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