| NPI | 1154666832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BROWNLOW Sr. VP Finance Managed Care CFO 815-300-1100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |