Services Offered

Kareo Software

Forms to Download

Our Fees

Mission Statement

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References

Home

Internal Revenue Service (IRS)

Form W-9: Request for Taxpayer Identification Number & Certification, 4 pages (72KB)

Illinois Department of Financial & Professional Regulation (DFPR)

HEALTH CARE PROFESSIONAL CREDENTIALING
& BUSINESS DATA GATHERING FORMS

Form for Initial Credentialing, 35 pages (124KB)

Form for Re-Credentialing, 24 pages (144KB)

Form for Updating Credentialing, 2 pages (28KB)

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