Organization · Type 2 NPI

Aunt Martha's Youth Service Center, Inc

Federally Qualified Health Center (FQHC) · Hanover Park, IL

NPI number 1407014046 Active

Practice location

1515 Lake St
Hanover Park, IL 60133-4896

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 261QF0400X049 (IL)

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

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About NPI 1407014046

Aunt Martha's Youth Service Center, Inc's National Provider Identifier is 1407014046, issued on May 30, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Hanover Park, IL. The record was last updated on Jul 21, 2022.