Form 445107 Ambulatory Surgical Treatment Center Initial Licensure Application - Illinois

What Is Form 445107?

This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 445107?
A: Form 445107 is the Ambulatory Surgical Treatment Center Initial Licensure Application in the state of Illinois.

Q: What is an Ambulatory Surgical Treatment Center?
A: An Ambulatory Surgical Treatment Center is a facility that provides surgical procedures on an outpatient basis.

Q: What is the purpose of Form 445107?
A: The purpose of Form 445107 is to apply for the initial licensure of an Ambulatory Surgical Treatment Center in Illinois.

Q: Who needs to complete Form 445107?
A: Any entity or individual who wants to open and operate an Ambulatory Surgical Treatment Center in Illinois needs to complete this form.

Q: What information is required on Form 445107?
A: Form 445107 requires information about the facility, ownership, administration, staffing, policies and procedures, and compliance with state regulations.

Q: How long does it take to process Form 445107?
A: The processing time for Form 445107 may vary, but the Illinois Department of Public Health aims to complete the initial licensure application within 90 days.

Q: Are there any additional requirements after submitting Form 445107?
A: Yes, there may be additional requirements after submitting Form 445107. The Illinois Department of Public Health may conduct an on-site inspection and review the application before issuing a license.

Q: What happens if Form 445107 is approved?
A: If Form 445107 is approved, the Ambulatory Surgical Treatment Center will be issued a license to operate in Illinois.