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FOR BHF USELL1 2020STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2020)I.DPH License ID Number:

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Start by writing the first name 'Kevin' in the designated space on the form or document.

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Individuals or organizations requiring the professional services of Kevin Wellen, a certified public accountant (CPA), would need to use the name 'Kevin Wellen CPA'.

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Kevin Wellen CPA is the name of a certified public accountant.

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