NPI | 1710289327 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA NAGL Office Manager 708-771-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 019026663) |
Enumeration Date | 2010-12-02 |
Last Update Date | 2010-12-02 |