| NPI | 1164703823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN M BROOKS Executive Committee Member 773-484-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |