| Aunt Marthas Youth Service Center Inc | |
|
2124 Ogden Ave Aurora IL 60504-7595 | |
| (877) 692-8686 | |
| (708) 747-8024 |
| Full Name | Aunt Marthas Youth Service Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2124 Ogden Ave, Aurora, Illinois |
| Authorized Official Name and Position | Audrey Pennington (EXEC. VP OF HEALTH) |
| Authorized Official Contact | 7738027645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 2124 Ogden Ave Aurora IL 60504-7595 Ph: (877) 692-8686 |
| NPI Number | 1356481899 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 11/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356481899 | NPI | - | NPPES |
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