| NPI | 1265549901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MARIE OBRIEN Administrator 847-864-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 060-004998) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |