AUNT MARTHA'S HEALTH AND WELLNESS, INC.; NPI #1508455908

Contact Information

AUNT MARTHA'S HEALTH AND WELLNESS, INC.

1044 N FRANCISCO AVE STE 101
CHICAGO, IL 60622-2743

Phone: 708-825-7511
Fax: 708-747-8024
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for AUNT MARTHA'S HEALTH AND WELLNESS, INC.

NPI Number	`1508455908`
LBN Legal business name	AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Authorized official	MARIA BORRAYO - (DIRECTOR OF PATIENT ACCESS)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/12/2021
Last updated	01/12/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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