Aunt Matha's Youth Service Center
NPI #1902269095 in Olympia Fields, Illinois
Provider Information
- NPI Number
- 1902269095
- Entity Type
- Organization
- Organization Name
- Aunt Matha's Youth Service Center
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Apr 5, 2016
- Last Updated
- Apr 5, 2016
Practice Location
- Address
- 19990 GOVERNORS HWY
- City
- Olympia Fields
- State
- Illinois
- ZIP Code
- 60461-1021
- Phone
- (708) 747-7100
Authorized Official
- Name
- DR. CLARENCE PARKS, MD
- Title
- PCP - FAMILY PRACTICE MEDICINE
- Phone
- (815) 275-1540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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