State of Illinois Department of Healthcare and Family Services PROVIDER ENROLLMENT APPLICATION ILLINOIS MEDICAL ASSISTANCE PROGRAM - Unique physician identification number - Document - PDFSEARCH.IO

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	State of Illinois Department of Healthcare and Family Services PROVIDER ENROLLMENT APPLICATION ILLINOIS MEDICAL ASSISTANCE PROGRAM Add to Reading List Document Date: 2014-01-08 14:50:16 Open Document File Size: 1,49 MB Share Result on Facebook Facility Hospital Admitting Privilege / Pharmacy In Charge Location / Pharmacy Yes No Software Vendor Name / Hospital Name Address Hospital Name Address / Long Term Care Building / Pharmacy NCPDP# / / Organization Illinois Department of Healthcare / Department of Healthcare and Family Services / Medicare / / Position Physician / Pharmacist / / URL http / SocialTag Identifiers Healthcare in Australia Unique physician identification number Health Medicare Medicaid Government United States National Provider Identifier Federal assistance in the United States

State of Illinois Department of Healthcare and Family Services PROVIDER ENROLLMENT APPLICATION ILLINOIS MEDICAL ASSISTANCE PROGRAMAdd to Reading List