| NPI | 1538663679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA C ELLINGSON Chief Operating Officer 773-695-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-06-16 |