Organization · Type 2 NPI
Aunt Martha's Health and Wellness, Inc.
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1740932532
Active
Practice location
4840 W Byron St # 60641
Chicago, IL 60641-2712
Fax (708) 747-8024
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1740932532
Aunt Martha's Health and Wellness, Inc.'s National Provider Identifier is 1740932532, issued on Jan 22, 2022. 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 Jan 22, 2022.