| NPI | 1538479456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO REY URZUA President 630-469-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 021002327) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: IL 021002327) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |