| NPI | 1922170448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA LIAPPAS Provider Relations Representative 708-342-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-08-17 |