| NPI | 1477914224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BURKE Owner 847-204-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 149016817) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |