| 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 |