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FOR BHF USELL1
2010
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2010)I.DPH License ID Number:
Facility
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What is fax 618 435-3141?
Fax 618 435-3141 is a specific form or document used for reporting certain tax-related information to the IRS or other regulatory bodies.
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Required information on fax 618 435-3141 generally includes taxpayer identification numbers, amounts of income, deductions, and any specific data requested by the IRS.
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