| NPI | 1730410622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L WEILER V P Director 815-479-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 4000301) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: IL 3000617) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2016-08-09 |