Organization · Type 2 NPI

Aunt Marthas Youth Service Center, Inc

Federally Qualified Health Center (FQHC) · Joliet, IL

NPI number 1295083574 Active

Practice location

500 Wilcox St, Suite 234
Joliet, IL 60435-6169

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 261QF0400XNone listed

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

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About NPI 1295083574

Aunt Marthas Youth Service Center, Inc's National Provider Identifier is 1295083574, issued on Aug 17, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Joliet, IL. The record was last updated on Feb 27, 2013.