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FOR BHF USELL1 2019STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2019) I.DPH License ID Number: Facility
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Fax 630529-9866 refers to a specific fax form used for reporting information to the relevant authority.
Individuals or entities that meet certain criteria specified by the authority must file fax 630529-9866.
Fill out fax 630529-9866 by providing the required information in the designated fields, ensuring accuracy and completeness.
The primary purpose of fax 630529-9866 is to report specific information to comply with regulatory or legal requirements.
Information that must be reported typically includes identification details, financial data, and any relevant transaction information as required by the authority.
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