Organization · Type 2 NPI
Aunt Marthas Youth Service Center
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1295863983
Active
Practice location
5001 S Michigan Ave
Chicago, IL 60615-2112
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 043 (IL) |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
- Morrow Health Care Center, Inc.Skilled Nursing Facility Chicago, IL NPI 1619964079
- Rolanda L. Sanders, LCSWClinical Social Worker Chicago, IL NPI 1063142453
- Rosemary Thalakotoor Joy, MDPediatrics Physician Chicago, IL NPI 1902941636
- Sandra Marie Turner, MDPediatrics Physician Chicago, IL NPI 1588696603
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About NPI 1295863983
Aunt Marthas Youth Service Center's National Provider Identifier is 1295863983, issued on Mar 2, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on Jul 21, 2022.