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OFFICE USE ONLY220 0000 125Check: Y N Amount: ___ILLINOIS DEPARTMENT OF PUBLIC HEALTH Hearing Instrument Consumer Protection Program WRITTEN EXAMINATION REGISTRATION PLEASE PRINT NAME___HOME ADDRESS___(Last)(First)(M.I.)(Street
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The Illinois Department of Public Health is a state agency responsible for protecting the health and safety of the people in Illinois.
Certain healthcare facilities and providers in Illinois are required to file with the Illinois Department of Public Health.
Illinois Department of Public Health forms can be filled out online through their official website.
The purpose of the Illinois Department of Public Health is to promote and protect the health, safety, and well-being of the residents of Illinois.
The information reported on the Illinois Department of Public Health forms may include healthcare data, statistics, and compliance information.
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