| NPI | 1285021428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL JAMBARO GUERRERO President 773-842-0373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 041201839) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |