| Aunt Martha's Bremen | |
|
15350 Oak Park Ave. Oak Forest IL 60452 | |
| (708) 747-7100 | |
| (708) 747-0710 |
| Full Name | Aunt Martha's Bremen |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 15350 Oak Park Ave., Oak Forest, Illinois |
| Authorized Official Name and Position | Mary M Martin (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7088255976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aunt Martha's Bremen 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Martha's Bremen 15350 Oak Park Ave. Oak Forest IL 60452 Ph: (708) 747-7100 |
| NPI Number | 1538519111 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 03/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538519111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Vita Noblesse Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 W. 159th St, Bldg A, Ste 2b/west, Oak Forest, IL 60452 Phone: 708-941-1174 | |
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