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Le file GRAPHIC print DO NOT PROCESS Format Filed Data DAN:93491089006067 OMB No 15450052990PFReturn of Private FoundationDepartment of the Area×UN Internal Re venue SER ice2016or Section 4947(a)(1)
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The Northern Illinois Heart Institute is a healthcare facility specializing in cardiac care.
Medical personnel or institutions involved in cardiac care are required to file the Northern Illinois Heart Institute form.
The form can be filled out online or in person at the institute's office. It requires information about the patient, their medical history, and the treatment received.
The purpose of the form is to ensure that accurate and comprehensive records are kept for patients receiving cardiac care.
Information such as patient demographics, medical history, diagnostic tests, procedures performed, and medications prescribed must be reported on the form.
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