| NPI | 1164517462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH STACKPOLE KOCH Director Of Contracting 773-572-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |