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FOR OF USELL1
2003STATE OF ILLINOIS
DEPARTMENT OF PUBLIC AID
FINANCIAL AND STATISTICAL REPORT FOR
LONGER CARE FACILITIES
(FISCAL YEAR 2003)I.DPH Facility ID Number:
Facility Name:0004473II.IMPORTANT
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Fax 708 481-4606 is a number used for submitting specific forms or documents related to tax filings or regulatory compliance.
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