Aunt Martha's Youth Service Center, Inc.
NPI #1174716823 in Hazel Crest, Illinois
Provider Information
- NPI Number
- 1174716823
- Entity Type
- Organization
- Organization Name
- Aunt Martha's Youth Service Center, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 24, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 17850 S KEDZIE AVE
- City
- Hazel Crest
- State
- Illinois
- ZIP Code
- 60429-2058
- Phone
- (708) 747-7100
Authorized Official
- Name
- MR. CHRISTOPHER J NORDLOH
- Title
- CFO
- Phone
- (708) 747-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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