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FOR BHF USELL1 2021STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONGER CARE FACILITIES (FISCAL YEAR 2021) I.DPH License ID Number:
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Obtain the form or document that requires you to fill out the facility name and ID.
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Locate the designated fields for facility name and ID on the form.
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Write the name of the facility in the designated field for facility name.
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Enter the unique identification number or code assigned to the facility in the designated field for ID.

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Any individual or organization that is required to provide information about a particular facility may need to fill out the facility name and ID.
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Facility name amp id is a unique identifier assigned to a facility.
All facilities are required to file facility name amp id.
Facility name amp id can be filled out online through the designated portal.
The purpose of facility name amp id is to track and identify individual facilities.
Facility name and unique identifier must be reported on facility name amp id.
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