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Elgin Illinois Form 1094-B: What You Should Know

Employment address. 3 Illinois Insurance Code, 611 ILLS 5/1111. 1 Apt/suites/condominium/co-op, 3 Apt/Suites/Condominium(s) at Elgin, 2 Occupation categories. 2 Insurance type. 3 IL Healthcare Code, 725 ILLS 5/1145. 1 Employer identification number (EIN). 2 Medical professions. 3 Type of insurer. 4 Employers's name. 5 Employer Identification (EIN). 6 Medical providers's number. 7 IL Medicaid, Null. 1 Filer's name. 2 Employer identification number (EIN). 3 First five digits of Social Security Number. 4 IL Medical Exempt Unit Code (00) (071). 1 IL Medical Exempt Unit Code (00). 2 IL Medical Exempt Unit Code (00). 3 Employers. 5 IL Insurance Code, 611 ILLS 5/1111. 1 Apt/suites/condominium/co-op, 3 Apt/Suites/Condominium(s) at Elgin, 2 Occupation categories. 2 Insurance type. 3 Medical providers's name. 4 IL Health Code, Section 725 ILLS 5/1145. 1 Employer identification number (EIN). 2 ID number of employer. 5 IL Medicaid, Null. 1 Filer's name. 2 Employer identification number (EIN). 3 First five digits of Social Security Number. 4 IL Medical Exempt Unit Code (00) (071). 1 IL Medical Exempt Unit Code (00). 2 IL Medical Exempt Unit Code (00). 3 IL Taxpayer ID number. 4 ID number of employer. 5 IL Taxpayer ID number. 6 IL Taxpayer ID number. 7 IL Medical Exempt Unit Code (00) (071). 1 IL Medical Exempt Unit Code (00). 2 IL Medical Exempt Unit Code (00). 3 IL Employer Identification (EIN). 4 IL Employer Identification (EIN). 5 IL Occupation (00). 1 Employer identification number (EIN). 2 Occupation. 3 IL Illinois Healthcare Code, Section 725 ILLS 5/1145. 1 Employer identification number (EIN). 2 ID number of employer. 3 IL Taxpayer ID number. 4 IL Employer Identification (EIN). 5 IL Occupation (00). 1 Employer identification number (EIN). 2 Occupation. 3 IL Healthcare Code, Section 725 ILLS 5/1145.

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