REGISTY PARTICIPATION AGREEMENTRegistry Participation Agreement • September 17th, 2020 • Illinois
Contract Type FiledSeptember 17th, 2020 JurisdictionTHIS AGREEMENT is entered into and made effective the ___ day of ______, 20__ (“Effective Date”), by and between the Palliative Care Quality Collaborative, NFP, an Illinois not-for-profit corporation, with its principal place of business at 8735 W. Higgins Rd, Ste 300, Chicago, IL, 60631 (“PCQC”) and _____________ (“Participant”), with its principal place of business at __________________________. PCQC and Participant are each a “Party” to this Participation Agreement and are referred to collectively herein as the “Parties.”