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Get IL CC 93 2016-2024

NOIS Claimant vs. Respondent, STATE OF ILLINOIS ) ) ) ) ) ) ) ) Claimant seeks from Respondent payment in the sum of $ for rendered by Claimant to persons eligible for Medical Assistance under programs Type Medical Service administered by the Illinois Department of Healthcare and Family Services (hereinafter the Department). The names of said persons, their Recipient identification numbers as assigned by the Departme.

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