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STATE OF ILLINOIS HEALTH FACILITIES AND SERVICES REVIEW BOARD 52525 WEST JEFFERSON ST. SPRINGFIELD ILLINOIS 62761 782-3516 FAX 217 785-4111 DOCKET NO BOARD MEETING PROJECT NO A-2 July 21 2011 10-093 FACILITY NAME Woodlawn Dialysis TYPE OF PROJECT Substantive PROJECT COST Original 4 983 511 CITY Chicago HSA VI PROJECT DESCRIPTION The applicants DaVita Inc* and Total Renal Care Inc* are proposing to discontinue a 20-station End Stage Renal Dialysis ESRD facility located in Chicago and establish...
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10-093 woodlawn dialysis 2docx is a form used for reporting information related to dialysis services at the Woodlawn facility.
Healthcare providers and facilities offering dialysis services at the Woodlawn facility are required to file 10-093 woodlawn dialysis 2docx.
10-093 woodlawn dialysis 2docx must be filled out with accurate information regarding the dialysis services provided at the Woodlawn facility.
The purpose of 10-093 woodlawn dialysis 2docx is to gather data on dialysis services offered at the Woodlawn facility for regulatory and reporting purposes.
Information such as patient demographics, treatment times, and outcomes must be reported on 10-093 woodlawn dialysis 2docx.
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