| NPI | 1013295112 |
|---|---|
| Former Legal Business Name | WELLCARE HEALTH INSURANCE OF ILLINOIS, INC. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HABER VP & Secretary 813-206-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2016-05-05 |