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(042) Medical Corporation
New Application Checklist
Contents
General Information .........................................................................................................................................................................2
Instructions: ..................................................................................................................................................................................2
Statutory Requirements: ..............................................................................................................................................................2
Qualifications/Exemptions: ..........................................................................................................................................................3
Application Requirements ................................................................................................................................................................4
Application Fees ...............................................................................................................................................................................5
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General Information
Instructions:
1. Complete all information on the Application for a Medical Corporation registration. Make sure the
application bears the same name that appears on the Articles of Incorporation as filed with the Illinois
Secretary of State.
2. Submit a complete copy of the Articles of Incorporation as filed with the Illinois Secretary of State.
3. Submit a registration fee of $50.00. Fees are not refundable.
4. All Medical Corporation registrations expire on December 31 of each year, regardless of the date on
which the registration was issued by the Department of Financial and Professional Regulation, Division
of Professional Regulation.
Statutory Requirements:
1. Only physicians and surgeons and chiropractors licensed under the Illinois Medical Practice Act may
apply for a Medical Corporation Registration. All officers, directors and shareholders of the Medical
Corporation MUST hold an active Illinois physicians and surgeons or chiropractor license.
2. The corporation name must end with the word "chartered" or "limited" or the abbreviation "Ltd." or
the words "Service Corporation or the abbreviation "S.C." The Medical Corporation Registration will be
issued in the same name as on the Articles of Incorporation as fi led with the Illinois Secretary of State.
The purpose clause must specify "medical corporation."
3. A separate application must be submitted for each business location in Illinois.
4. If the company is using more than one d/b/a and the address is different than that of the parent
company, then a new application is required for each additional d/b/a filed with the Illinois Secretary
of State.
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Qualifications/Exemptions:
Do Not Use this Application If:
LAW/LEGAL SERVICES: The corporation is formed to practice law. Contact the Illinois Supreme Court,
Clerk's Office at 217/782-2035 for an application.
REAL ESTATE: The corporation is formed to practice the profession of real estate. After filing your
Articles of Organization with the Illinois Secretary of State, you must file a Real Estate Broker LLC
Application with the Illinois Department of Financial and Professional Regulation, Division of
Professional Regulation.
ACCOUNTING: The corporation provides public accounting services. After filing your Articles of
Incorporation with the Illinois Secretary of State, you must file a Public Accounting Firm Application
with the Illinois Department of Financial and Professional Regulation, Division of Professional
Regulation.
DESIGN PROFESSIONAL SERVICES: The corporation provides architectural, professional engineering,
structural engineering and/or land surveying services. After filing your Articles of Incorporation with
the Illinois Secretary of State, you must fi le a Design Firm Application with the Illinois Department of
Financial and Professional Regulation, Division of Professional Regulation.
DETECTIVE/SECURITY-RELATED SERVICES: The corporation provides private detective, private alarm,
private security, fingerprint vendor, or locksmith services. After filing your Articles of Incorporation
with the Illinois Secretary of State, you must fi le an application for licensure as a Private Detective
Agency, Private Alarm Contractor Agency, Private Security Contractor Agency, Fingerprint Vendor
Agency, or Locksmith Agency with the Illinois Department of Financial and Professional Regulation,
Division of Professional Regulation.
BEAUTY, BARBERING OR COSMETOLOGY SERVICES: The corporation provides barbering, cosmetology,
esthetics, or nail technology services. After filing your Articles of Incorporation with the Illinois
Secretary of State, you must file a Salon or Shop Registration with the Illinois Department of Financial
and Professional Regulation, Division of Professional Regulation.
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Application Requirements
Application
Requirements
Submitted:
Medical
Corporation
Online
Application
1. Create a user name, password, and enter your primary email
2. Enter your Medical Corporation Business Name. This name should be the
same as it appears on the Articles of Incorporation as filed with the Illinois
Secretary of State. This name should be the same as it appears on the
Articles of Incorporation as filed with the Illinois Secretary of State. Please
be sure Business Name matches the name found on the Illinois Secretary of
State’s website by clicking here.
3. Public Address including:
Street Address, City, State, Zip, County, Country
Business Phone Number
Security Questions
4. Mailing Address (if it is different than your public address) including:
Street Address, City, State, Zip, County, Country
Business Phone Number
5. Tax Information including:
Your federal tax identification number (FEIN)
6. You will be required to provide information on your business incorporation
including:
The Date of Incorporation
A PDF copy of your articles of incorporation from the Illinois
Secretary of State.
Information on how to request a copy of your Articles of
Incorporation the Illinois Secretary of State can be found by clicking
here.
7. If you plan to operate under an Assumed Name (also commonly known as a
Doing Business As (DBA) or Trade Name) you will be required to provide:
The DBA name which you will be operating under
A PDF copy of your Assumed Name Filing with the Illinois Secretary
of State.
If you are using more than one DBA and the address is different
than that of the parent company, then a new application is required
for each additional DBA filed with the Illinois Secretary of State.
Information on how to file an Assumed Name for a Corporation
with the Illinois Secretary of State can be found by clicking here.
ONLINE
PORTAL
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8. You must select all of the shareholders, directors or officers by searching
“MEDICAL BOARD” and adding them to the grid.
NOTE: Only physicians and surgeons and chiropractors licensed
under the Illinois Medical Practice Act (MEDICAL BOARD) may apply
for a Medical Corporation Registration. All officers, directors and
shareholders of the Medical Corporation MUST hold an active
Illinois physicians and surgeons or chiropractor license.
9. If an attorney licensed to practice law in Illinois is acting as the initial
incorporator on behalf of the corporation, you will be required to provide
contact information for that attorney.
Application Fees
Fees collected through the licensing process are NOT REFUNDABLE OR TRANSFERABLE.
Complete
Submitted:
1.
ONLINE
PORTAL
NOTES: All major credit and debit cards as well as ACH and eCheck are accepted.