| NPI | 1669641478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LABOY Associate Partner, Provider Relatio 773-737-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2018-11-14 |