| NPI | 1508134800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA CERK Program Coordinator 847-377-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 178.004336) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |