NPI | 1245358761 |
---|---|
Doing Business As | DPN |
Entity Type | Organization |
Authorized Contact | JON KNIPPER Chief Operating Officer 708-478-6434 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |