| NPI | 1861472151 |
|---|---|
| Doing Business As | MEDICAL SERVICE PLAN |
| Entity Type | Organization |
| Authorized Contact | WILLIAM R NICHOLAS Executive Director Medical Service 312-413-0573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-08-22 |