Aunt Martha'S Youth Service Center, Inc

LBN: Aunt Martha'S Youth Service Center, Inc
Aunt Martha'S Youth Service Center, Inc is an health care organization with primary practice located at 1515 Lake St , Hanover Park IL 60133-4896. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Aunt Martha'S Youth Service Center, Inc can be contacted via phone (708) 747-7100, or through Nordloh, Christopher J via phone (708) 747-7100.

Contact Information

Primary practice address
1515 Lake St Hanover Park IL 60133-4896
Phone: (708) 747-7100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nordloh, Christopher J
Phone: (708) 747-7100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 049 Illinois

Profile Details

NPI number 1407014046
LBN Legal business name Aunt Martha'S Youth Service Center, Inc
DBA Doing business as
Authorized official Nordloh, Christopher J
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2008
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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