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SafeWorks Illinois Physician Referral Network

SafeWorks Illinois welcomes healthcare professionals from a wide variety of specialties. To join the SafeWorks Illinois Physician Referral Network, complete and submit the information below.

Company
Title
First Name
Last Name
Suffix  (ie. MD)
Address
City State
Zip –
Phone – –
Fax Number – –
E-mail

What is your Specialty?



What is your Hospital Affiliation?



Comments

If you are having technical issues with the Referral Network or have any questions regarding a provider, please contact SafeWorks Illinois at 217.356.6150 (Champaign) or 312.361.2104 (Chicago).

 

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