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State of Illinois Department of Public Health *OFFICIAL USE ONLY* Months AccumulatedAttach Recent 1 × 1 Head and Shoulders Photograph of ApplicantApproved Disapproved By Reapplication for Examination
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The Department of Public Health is a government agency responsible for overseeing public health initiatives and programs.
All healthcare facilities and providers are required to file with the Department of Public Health.
To fill out the Department of Public Health forms, healthcare facilities and providers must provide accurate and up-to-date information about their services and patient care.
The purpose of the Department of Public Health is to protect and promote the health and safety of the public through regulation and oversight of healthcare services.
Information that must be reported on department of public health includes patient demographics, medical services provided, and any health-related incidents.
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