NPI | 1821740481 |
---|---|
Entity Type | Organization |
Authorized Contact | JASMEKA BOYD Owner 312-468-3556 |
Organization Subpart ? | No |
Primary Taxonomy | 251K00000X Public Health or Welfare |
Additional Taxonomies | 251S00000X |
302R00000X Health Maintenance Organization | |
Enumeration Date | 2022-01-24 |
Last Update Date | 2022-02-26 |