| Aunt Marthas Youth Service Center Inc | |
|
200 E Walnut St Watseka IL 60970-1356 | |
| (708) 747-7100 | |
| (708) 747-0710 |
| Full Name | Aunt Marthas Youth Service Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 E Walnut St, Watseka, Illinois |
| Authorized Official Name and Position | Christopher J Nordloh (CFO) |
| Authorized Official Contact | 7087477100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Marthas Youth Service Center Inc 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Marthas Youth Service Center Inc 200 E Walnut St Watseka IL 60970-1356 Ph: (708) 747-7100 |
| NPI Number | 1649417759 |
|---|---|
| Provider Enumeration Date | 01/12/2009 |
| Last Update Date | 03/22/2011 |
| Medicare PECOS PAC ID | 7214846922 |
|---|---|
| Medicare Enrollment ID | O20100607000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649417759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Gibson Community Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 806 E Walnut St Ste A, Watseka, IL 60970 Phone: 815-432-1078 Fax: 815-432-1079 | |
Iroquois Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Laird Ln, Watseka, IL 60970 Phone: 815-432-5841 | |
Gonzalo T Florido Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 714 S 10th St, Watseka, IL 60970 Phone: 815-432-6744 | |
Iroquois Memorial Hospital And Resident Home Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Laird Ln, Watseka, IL 60970 Phone: 815-432-5411 Fax: 815-432-3955 | |
Hoopeston Community Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1490 E Walnut St, Suite C, Watseka, IL 60970 Phone: 815-432-8200 Fax: 815-432-8201 | |
Philip Zumwalt,m.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S 4th St, Watseka, IL 60970 Phone: 815-432-5430 Fax: 815-432-6024 |