| NPI | 1700330826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RODNEY BRYANT Chief Executive Officer 708-692-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 309007616) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |