institution
Aunt Martha's Youth Service Center, Inc
Federally Qualified Health Center (FQHC) in Hanover Park, Illinois
NPI 1407014046

Aunt Martha's Youth Service Center, Inc is a Federally Qualified Health Center (FQHC) based in Olympia Fields, IL and is specialized in Federally Qualified Health Center (FQHC). Aunt Martha's Youth Service Center, Inc practices in Hanover Park, IL. The NPI Number for Aunt Martha's Youth Service Center, Inc is 1407014046 and holds a License No. 049 (Illinois).

The current practice location address for Aunt Martha's Youth Service Center, Inc is 1515 Lake St, Hanover Park, IL and can be reached out via phone at 708-747-7100.

Location: 1515 Lake St, Hanover Park, IL, 60461-1021
institution
Provider Profile Details
NPI Number
1407014046
Provider Name
Aunt Martha's Youth Service Center, Inc
Credential
Provider Entity Type
Organization
Address
1515 Lake St, Hanover Park, IL, 60461-1021
Phone Number
708-747-7100
Fax Number
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1515 Lake St
City
State
Zip
60133-4896
Phone Number
708-747-7100
Fax Number
person
Provider Business Mailing Address Details
Address
1515 Lake St
City
State
Zip
60133-4896
Phone Number
708-747-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
049 (Illinois)
Definition
Definition to come...
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