NPI | 1922375450 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNE M SCHMIDT President 847-854-1873 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 248000457) |
Enumeration Date | 2011-11-29 |
Last Update Date | 2011-11-29 |