Tax Exempt Corporation / Sole Proprietor Partnership / /
Currency
USD / /
Event
Business Partnership / /
Facility
Trust Pharmacy / /
IndustryTerm
health services / outpatient clinical services / clinical services / local law / be spent providing clinical services / /
Organization
office of Policy / National Health Service Corps / Rural Health Illinois Department of Public Health / federal government / Illinois Department of Revenue / Illinois Office / ILLINOIS NATIONAL HEALTH SERVICE / Center for Rural Health / Illinois Attorney General’s Office / Applicant Organization / Illinois Department of Human Rights Number / Medicare / /
Person
Grant Term / GRANT HISTORY / GRANT BUDGET / /
Position
physician / Chief Officer / Representative / Deputy Director Date / General / obstetrician /gynecologist / Secretary of State / Director / Division Chief/Program Manager / certified nurse / nurse / /
FOR IDPH Use Only Application No. _______________ Date Received ________________ ILLINOIS DEPARTMENT OF PUBLIC HEALTH