| NPI | 1700227279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAFAR SHAH-MIRANY Medical Director And CEO 847-763-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |