| Aunt Martha's Youth Service Center, Inc | |
|
680 S River St Aurora IL 60506-5552 | |
| (877) 692-8686 | |
| (708) 747-8024 |
| Full Name | Aunt Martha's Youth Service Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 680 S River St, Aurora, Illinois |
| Authorized Official Name and Position | Audrey Pennington (EXEC. VP OF HEALTH) |
| Authorized Official Contact | 7738027645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Youth Service Center, Inc 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Martha's Youth Service Center, Inc 680 S River St Aurora IL 60506-5552 Ph: (877) 692-8686 |
| NPI Number | 1629118161 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 11/02/2016 |
| Medicare PECOS PAC ID | 7214846922 |
|---|---|
| Medicare Enrollment ID | O20100218000425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629118161 | NPI | - | NPPES |
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