Organization · Type 2 NPI

Aunt Marthas Youth Service Center Inc

Federally Qualified Health Center (FQHC) · Aurora, IL

NPI number 1104954890 Active

Practice location

317 E Indian Trl
Aurora, IL 60505-1734

Call (708) 747-7100 Map

Mailing address

19990 Governors Hwy
Olympia Fields, IL 60461-1021

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X042 (IL)
Federally Qualified Health Center (FQHC) 261QF0400X050 (IL)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1104954890

Aunt Marthas Youth Service Center Inc's National Provider Identifier is 1104954890, issued on Mar 2, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Aurora, IL. The record was last updated on Jul 21, 2022.