| NPI | 1184789968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY E. SMITH Director Medical Director 773-374-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |