| NPI | 1811260243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA SIESENNOP Registered Dietitian 773-241-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |