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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:
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The online request form is for requesting information or services over the internet.
Individuals or organizations who need to submit a formal request online.
The online request form can be filled out by entering the required information into the designated fields on the web page.
The purpose of the online request form is to streamline the process of requesting information or services online.
The information required on the online request form may vary depending on the nature of the request, but typically includes contact information and details of the request.
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