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Registration Form (Please type or print) Name: First Middle Last Agency: Annual ICON TB Conference Address: City: State: Email: Zip: Phone #: Registration fee includes Conference, breakfast of bagels
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Here - APIC Chicago refers to the Annual Provider Information Change form for the Chicago region.
Healthcare providers in the Chicago region are required to file the APIC Chicago form.
The APIC Chicago form can be filled out online or by mail with the required information.
The purpose of the APIC Chicago form is to update provider information and ensure accuracy in the healthcare system.
The APIC Chicago form requires providers to report changes in contact information, services offered, and billing details.
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