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PROVIDER NO. 140088 UNIVERSITY OF CHICAGO HOSPITAL PERIOD FROM 07/01/2009 TO 06/30/2010KPMG LLP COMPLEX MICRO SYSTEM IN LIEU OF FORM CMS255296 (11/98)VERSION: 2010.09 11/24/2010 23:51HOSPITAL AND

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1. To fill out the University of Chicago hospital form, follow these steps:
2. Start by opening the official University of Chicago hospital website.
3. Navigate to the 'Forms' or 'Patient Resources' section.
4. Look for the specific form you need to fill out, such as an admission form or medical history form.
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11. It is always recommended to reach out to the University of Chicago hospital directly if you have any questions or uncertainties about filling out their forms.

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1. University of Chicago hospital caters to various individuals and groups, including but not limited to:
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University of Chicago Hospital is a renowned medical center located in Chicago, Illinois.

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All patients receiving treatment at University of Chicago Hospital are required to have their information filed by hospital staff.

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