institution
Aunt Matha's Youth Service Center
Health Service Clinic/Center in Olympia Fields, Illinois
NPI 1902269095

Aunt Matha's Youth Service Center is a Health Service Clinic/Center based in Bolingbrook, IL and is specialized in Health Service. Aunt Matha's Youth Service Center practices in Olympia Fields, IL. The NPI Number for Aunt Matha's Youth Service Center is 1902269095 and holds a License No. 1275992323 (Illinois).

The current practice location address for Aunt Matha's Youth Service Center is 19990 Governors Hwy, Olympia Fields, IL and can be reached out via phone at 708-747-7100.

Location: 19990 Governors Hwy, Olympia Fields, IL, 60440-1485
institution
Provider Profile Details
NPI Number
1902269095
Provider Name
Aunt Matha's Youth Service Center
Credential
Provider Entity Type
Organization
Address
19990 Governors Hwy, Olympia Fields, IL, 60440-1485
Phone Number
708-747-7100
Fax Number
Provider Enumeration Date
04/05/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1275992323 01 IL NATIONAL PLAN & PROVIDER ENUMERATION
institution
Provider Business Practice Location Address Details
Address
19990 Governors Hwy
City
State
Zip
60461-1021
Phone Number
708-747-7100
Fax Number
person
Provider Business Mailing Address Details
Address
19990 Governors Hwy
City
State
Zip
60461-1021
Phone Number
708-747-7100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
1275992323 (Illinois)
Definition
Definition to come...
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