| Aunt Martha's Youth Service Center Inc | |
|
64 W 162nd St Dental Suite South Holland IL 60473-2061 | |
| (708) 747-7100 | |
| Not Available |
| Full Name | Aunt Martha's Youth Service Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 64 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 |
|---|---|
| Aunt Martha's Youth Service Center Inc 19990 Governors Hwy Olympia Fields IL 60461-1021 Ph: (708) 747-7100 | Aunt Martha's Youth Service Center Inc 64 W 162nd St Dental Suite South Holland IL 60473-2061 Ph: (708) 747-7100 |
| NPI Number | 1205067923 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 12/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205067923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
The Link And Option Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E 162nd St Ste 102, South Holland, IL 60473 Phone: 708-331-8111 Fax: 708-331-8088 | |
Family Health Center Physicians, Let Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17060 S Park Ave, South Holland, IL 60473 Phone: 708-331-9200 Fax: 708-331-5519 | |
Sakhawat Hussain Mdsc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16250 Louis Ave, South Holland, IL 60473 Phone: 708-333-0001 Fax: 708-333-0042 | |
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 |