| NPI | 1932570702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PATTERSON Owner 312-351-0311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 198.001026) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |