| Aunt Martha's Youth Service Center Inc | |
|
1941 Selmarten Rd Aurora IL 60505-1337 | |
| (708) 754-1044 | |
| Not Available |
| Full Name | Aunt Martha's Youth Service Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1941 Selmarten Rd, Aurora, Illinois |
| Authorized Official Name and Position | Jerry Garvey (CFO) |
| Authorized Official Contact | 7087541044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Youth Service Center Inc 233 W Joe Orr Rd Chicago Heights IL 60411-1744 Ph: (708) 754-1044 | Aunt Martha's Youth Service Center Inc 1941 Selmarten Rd Aurora IL 60505-1337 Ph: (708) 754-1044 |
| NPI Number | 1063678530 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063678530 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 048 (Illinois) | Primary |
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Vna Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 College Ave, Aurora, IL 60505 Phone: 630-978-2532 Fax: 630-978-2709 |