NPI 1174705503

Southwest Management

Organisation Health Maintenance Organization Oak Lawn, IL

Practice location

Address: 4861 W 95th St, Oak Lawn, IL 60453-2521
Phone: (708) 425-9096

Authorised official

Name: Vicki Gaw
Title: Office Manager
Phone: (708) 425-9096

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1174705503
Entity type: Organization
NPI issued: 27 Nov 2007
Record last updated: 27 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.