NPI | 1780756916 |
---|---|
Entity Type | Organization |
Authorized Contact | JERE FREIDHEIM Chairman 312-567-2156 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 56353046) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |