| NPI | 1124387360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE E. DAOUD Vice Pres/Chief Operating Officer 847-619-6671 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |