| NPI | 1912538448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WELTON Director, Government Contracts 630-203-3982 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-03 |