Illinois Will Form Does Anyone Know The Payer Address Info For The 1099g Illinois Form?

Does anyone know the payer address info for the 1099g illinois form? - illinois will form

The Fein # 37-6002057 seems like I find information and exchange and the only thing that was missing is the address of the client. I shall obtain as soon as possible, because the demand for money to pay overdue bills to file. Please help and thank you in advance!