Aunt Marthas South Holland Community Health Center | |
52 W 162nd St South Holland IL 60473-2061 | |
(708) 747-7100 | |
Not Available |
Full Name | Aunt Marthas South Holland Community Health Center |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 52 W 162nd St, South Holland, Illinois |
Authorized Official Name and Position | Christopher J Nordloh (CFO) |
Authorized Official Contact | 7087477100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aunt Marthas South Holland Community Health Center 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Marthas South Holland Community Health Center 52 W 162nd St South Holland IL 60473-2061 Ph: (708) 747-7100 |
NPI Number | 1871724369 |
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Provider Enumeration Date | 07/31/2009 |
Last Update Date | 03/22/2011 |
Identifier | Type | State | Issuer |
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1871724369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Moving Up Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Armory Dr, South Holland, IL 60473 Phone: 708-596-0410 | |
South Holland Physical Therapy & Rehabilitation, Ltd. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 162nd St, South Holland, IL 60473 Phone: 708-331-7555 | |
Bhupinder K. Valia Md Ser Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16115 La Salle St, South Holland, IL 60473 Phone: 708-331-8830 Fax: 708-331-8860 |