| NPI | 1528415668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA PALMER Director 312-919-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 056.009367) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-18 |