Common Contracts
5 similar Payment Plan Agreement contracts
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 3rd, 2014
This AGREEMENT is entered into between: Presence St. Mary of Nazareth Hospital Center, provider ID 362171079001, located at: 2233 W Division St, Chicago, IL 60622 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 3rd, 2014
This AGREEMENT is entered into between: Presence Our Lady of the Resurrection Med. Ctr., provider ID 362644178003, located at: 5645 W Addison St, Chicago, IL 60634 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: Presence St. Mary of Nazareth Hospital Center, provider ID 362171079001, located at: 2233 W Division St, Chicago, IL 60622 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: Presence Our Lady of the Resurrection Med. Ctr., provider ID 362644178003, located at: 5645 W Addison St, Chicago, IL 60634 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
Healthcare & Family Services ADVANCED PAYMENT PLAN AGREEMENTPayment Plan Agreement • October 2nd, 2014
This AGREEMENT is entered into between: Presence St. Joseph Medical Center, provider ID 364195126041, located at: 333 North Madison St, Joliet, IL 60435 (hereinafter referred to as the PROVIDER) and Healthcare & Family Services (hereinafter referred to as the DEPARTMENT).
