| NPI | 1942476668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ELGHAMMER M.D. 217-446-3259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: IL 036-028934) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-06-23 |