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FOR BHF USELL1
2022STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2022)
I.DPH License ID Number:
Facility
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Fax 618 937-3289 is a specific form used for submitting certain tax information to the IRS or relevant authorities.
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