Illinois Administrative Code
Title 77 - PUBLIC HEALTH
Part 515 - EMERGENCY MEDICAL SERVICES, TRAUMA CENTER, COMPREHENSIVE STROKE CENTER, PRIMARY STROKE CENTER AND ACUTE STROKE READY HOSPITAL CODE
Subpart K - COMPREHENSIVE STROKE CENTERS, PRIMARY STROKE CENTERS AND ACUTE STROKE-READY HOSPITALS
Appendix J - Credentials of Emergency Department Physicians Level I and Level II Pediatric Trauma Centers
Universal Citation: 77 IL Admin Code ยง J
Current through Register Vol. 48, No. 12, March 22, 2024
List each physician by name
Indicate full or part-time
Check all credentials that qualify physician for Illinois Trauma Center Emergency Departments
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Physician Name |
F= Full Time P= Part Time |
ABEM/AOBEM AOA Certified or Prepared (ED Director must be certified) |
10 hrs. per year approved CME & daily involvement in pediatric trauma care |
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_______________________________________
Signature
Hospital CEO/Administrator
__________________________________________________
Typed NameDate
Hospital CEO/Administrator
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