state of illinois credentialing form
health-care-professional-credentialing-and-data-gathering-
This form is for initial credentialing only. Other forms are required for recredentialing and for updating information. YOU ONLY HAVE TO FILL OUT AND SUBMIT
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CAQH ProView Provider User Guide
Personal Identification Numbers o Your Social Security Number is required to complete the application. o NPI National Provider Identification Number. ▫ This
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You will need to apply for the Temporary License first, and then
(1) Approximately 2-3 weeks before graduation, apply for. Temporary and Regular License. (you must do both at the same time), minus the ED form.
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