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Illinois dph agency 2026
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- Click ‘Get Form’ to open the Illinois Department of Public Health Home Health, Home Services, and Home Nursing Agency Initial Licensure Application in our editor.
- Begin by filling out the 'General Information' section. Enter your agency name, address, phone number, and email. Ensure all details are accurate for smooth processing.
- In the 'Ownership' section, select your type of organization from the drop-down menu. Provide the legal owner's name and contact information.
- Complete the 'Governing Body' section by listing the officers of your agency. Make sure to include their names and addresses.
- For agencies applying for multiple licenses, ensure you check all applicable agency types at the beginning of the form.
- Review each section carefully before submitting. Use our platform's features to save your progress and make edits as needed.
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