| Aunt Martha's Health And Wellness, Inc. | |
|
420 Ne Glen Oak Ave Fl 1 Peoria IL 61603-3106 | |
| (877) 692-8686 | |
| (708) 747-8024 |
| Full Name | Aunt Martha's Health And Wellness, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 420 Ne Glen Oak Ave Fl 1, Peoria, Illinois |
| Authorized Official Name and Position | Audrey Pennington (COO) |
| Authorized Official Contact | 7738027645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Health And Wellness, Inc. 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (877) 692-8686 | Aunt Martha's Health And Wellness, Inc. 420 Ne Glen Oak Ave Fl 1 Peoria IL 61603-3106 Ph: (877) 692-8686 |
| NPI Number | 1700539517 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 01/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700539517 | NPI | - | NPPES |
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