| NPI | 1578738662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA ROLLS Project Manager 630-384-1254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 36117052) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-05-08 |