| NPI | 1427222181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAROOQ MASOOD AHMED President/ CEO 312-590-8742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 036.118695) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |