Aunt Marthas Youth Service Center
Clinic/Center, Federally Qualified Health Center (FQHC) in Olympia Fields, IL. Organization (NPI-2).
NPI number1225080922
StatusActive
Last updated in NPPESDec 2, 2010
Details
- NPI
- 1225080922
- Entity type
- Organization (NPI-2)
- Legal business name
- Aunt Marthas Youth Service Center
- Organization subpart
- No
- Enumeration date
- May 17, 2006
- Last updated
- Dec 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 251B00000X | Case Management | – | IL | |
| 251C00000X | Day Training, Developmentally Disabled Services | – | IL | |
| 251K00000X | Public Health or Welfare | – | IL | |
| 251J00000X | Nursing Care | – | IL |
Practice location
19990 Governors HwyOlympia Fields, IL 60461-1021
Phone 708-747-7100
Mailing address
19990 Governors HwyOlympia Fields, IL 60461-1021
Phone 708-747-7100
Authorized official
Christopher J Nordloh
Cfo
7087477100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Clinic/Center, Federally Qualified Health Center (FQHC) providers in Olympia Fields, IL
- A Beautiful Mind Psychiatry PLLCNPI 1316799729
- A Great Awakening Counseling Services PLLCNPI 1366377350
- Adiuvare Health LLCNPI 1952290256
- Cathy Jackson Sharper Clarity, P.C.NPI 1467834564
- Chicago Psychological Services, INC.NPI 1386041796
- Childrens AdvocateNPI 1104489244
- Fampac Wellness CenterNPI 1437966462
- Frontier Healthcare Systems Of Illinois LLCNPI 1053772020
- Jab Counseling And Consulting Services, LLCNPI 1184468621
- Reenee Jackson-Hill, ABANPI 1982295457
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.