HMO Professional Credentialing Form

HMO Professional Credentialing Form

 

 

http://www.dph.illinois.gov/search/site/sites%20default%20files%20licensecertificate%202001%2009%2020%20form%20pdf
HMO Professional Credentialing Form
This form be collected from health care professionals by hospitals, health care entities, and health care plans which desire to credential such professional. Each hospital, health care entity, and health care plan may also require completion of supplemental forms.
GP0|#6ff001c7-3c06-4458-b753-46509643db01;L0|#06ff001c7-3c06-4458-b753-46509643db01|IDPH;GTSet|#21807e74-47bf-4df7-ae5f-27785913b5c9
217-782-7412
https://www.facebook.com/IDPH.Illinois
https://twitter.com/IDPH
https://www.youtube.com/watch?v=zdChR5XKVQs
http://www.dph.illinois.gov/contact-us

 Related Agency

 

 

https://www2.illinois.gov/agencies/IDPH
Public Health, Department of
The mission of IDPH is to promote health through the prevention and control of disease and injury. IDPH assures the quality of our food, sets standards for hospitals and nursing homes, investigates disease outbreaks, maintains the state’s vital records, screens newborns, and many other programs.