Organization
HEALTHSELECT IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA LIAPPAS (PROVIDER RELATIONS REPRESENTATIVE)
(708) 342-7144
Entity
Organization
Contact information
Practice address
18410 CROSSING DR STE A, TINLEY PARK, IL 60477-9287
(708) 342-7171
Mailing address
18410 CROSSING DR STE A, TINLEY PARK, IL 60477-9287
(708) 342-7171
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/14/2006
Last updated
08/17/2007
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