| NPI | 1003248378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L MANDELL President/CEO 847-309-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 2137912) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |