| NPI | 1376627018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY ANNE MILLER Executive Director Of Operations 847-516-8901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 1617365) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |