| NPI | 1750414850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH STACKPOLE KOCH System Director, Physician Mgd Care 773-572-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-08-06 |