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PRINTED: 01/09/2018 FORM APPROVED Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION NUMBER:ILLINOIS VETERANS HOME ANNA
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Complaint 145078068317 refers to a specific grievance or formal statement submitted to a relevant authority regarding an issue or violation that needs to be addressed.
Individuals or entities who have been directly affected by the issue in question or those who have evidence related to the complaint are required to file it.
To fill out complaint 145078068317, provide detailed information about the issue, including your personal information, a description of the complaint, and any supporting evidence required by the filing authority.
The purpose of complaint 145078068317 is to formally bring attention to a specific issue or violation that needs resolution, ensuring that the relevant authority can investigate and act.
The complaint must include the complainant's contact information, a clear description of the issue, relevant dates, and any evidence that supports the claim.
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