| NPI | 1689134371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE TRUNKETT Chief Compliance Officer 312-883-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2021-03-26 |