| NPI | 1063678761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA ROLLS Senior Project Manager 630-384-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 036100650) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2009-03-16 |