| NPI | 1063132009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA GUAJARDO Process Consultant Ii 312-653-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2022-08-30 |