| Aunt Martha's Health And Wellness, Inc. | |
|
345 Executive Pkwy Ste L1 Rockford IL 61107-5291 | |
| (877) 692-8686 | |
| Not Available |
| Full Name | Aunt Martha's Health And Wellness, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 345 Executive Pkwy Ste L1, Rockford, Illinois |
| Authorized Official Name and Position | Lauren Anne Nowocin (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7087477168 |
| 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: (708) 747-7168 | Aunt Martha's Health And Wellness, Inc. 345 Executive Pkwy Ste L1 Rockford IL 61107-5291 Ph: (877) 692-8686 |
| NPI Number | 1326979816 |
|---|---|
| Provider Enumeration Date | 05/26/2026 |
| Last Update Date | 05/26/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326979816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Aunt Martha's Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E State St Ste 3000, Rockford, IL 61104 Phone: 877-692-8686 |