National Provider Identifier Database

AUNT MARTHAS YOUTH SERVICE CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

AUNT MARTHAS YOUTH SERVICE CENTER
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL60461-1021
Phone: 708-747-7100
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Case Management 251B00000X
Day Training, Developmentally Disabled Services 251C00000X
Nursing Care 251J00000X
Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for AUNT MARTHAS YOUTH SERVICE CENTER

NPI Number 1225080922
Legal business name
LBN
AUNT MARTHAS YOUTH SERVICE CENTER
Authorized official CHRISTOPHER NORDLOH - (CFO)
Entity Organization
Organization subpart No
Enumeration date 05/17/2006
Last updated 12/02/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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