| NPI | 1740729474 |
|---|---|
| Doing Business As | LINCOLN PARK SMILES IN THE LOOP |
| Entity Type | Organization |
| Authorized Contact | JACK JOHN MANIKOWSKI Owner 312-236-9325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 019.024233) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |