AUNT MARTHA'S YOUTH SERVICE CENTER INC (NPI# 1174809503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174809503 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER INC |
| Practice Address |
1301 Copperfield Avenue Suite 201 Joliet IL 60432-2056 |
| Mailing Address |
19990 Governors Highway Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | CHRISTOPHER J NORDLOH (CFO) |
| Authorized Official Telephone | 7087477100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
=========077 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588821532 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 20301 Cottage Grove Ave, Chicago Heights, IL 60411-9667 | 2008-05-19 |
| 1235572751 | Aunt Martha's Youth Service Center Inc | Foster Care Agency | 1 N Center St, Joliet, IL 60435-7407 | 2013-04-15 |
| 1396070520 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2009-10-06 |
| 1619201613 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 620 Wing St, Elgin, IL 60123-2800 | 2009-09-23 |
| 1043544141 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 718 N Bridge St, Yorkville, IL 60560-1105 | 2009-09-23 |
| 1205067923 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 64 W 162nd St, Dental Suite, South Holland, IL 60473-2061 | 2009-07-29 |
| 1063678530 | Aunt Martha's Youth Service Center Inc | Clinic/Center | 1941 Selmarten Rd, Aurora, IL 60505-1337 | 2008-08-04 |
| 1538339411 | Aunt Martha's Youth Service Center Inc | Community/Behavioral Health | 1777 E Court St, Kankakee, IL 60901-2670 | 2008-03-06 |
| Street Address |
1301 COPPERFIELD AVENUE SUITE 201 |
| City | JOLIET |
| State | IL |
| Zip Code | 60432-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366501835 | Health Care Delivery Systems | Internal Medicine | 1301 Copperfield Avenue, Suite 202, Joliet, IL 60432 | 2006-12-08 |
| 1063602217 | Suburban Gynecology, LLC | Obstetrics & Gynecology | 1301 Copperfield Avenue, Suite 113, Joliet, IL 60432-2004 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053830943 | Abilio Milo | General Practice | 213 East Cass Street, Joliet, IL 60432 | 2017-09-12 |
| 1508284258 | Allison R. Nichols | Social Worker | 62 W. Washington St., Joliet, IL 60432 | 2014-03-31 |
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1124388624 | Fresenius Medical Care of Plainfield, LLC | Clinic/Center | 721 E Jackson St., Joliet, IL 60432 | 2012-05-18 |
| 1730375833 | Rhonda Denise Posley | Licensed Practical Nurse | 215 Clinton, Suite B, Joliet, IL 60432 | 2007-09-21 |
| 1538385463 | Frank C Bender | Family Medicine | 213 E Cass St, Joliet, IL 60432 | 2007-04-18 |
| 1134294614 | Mary Lee Johnson | Counselor | 62 West Washington Street, Joliet, IL 60432 | 2006-11-21 |
| 1609953223 | Catholic Charities of The Diocese of Joliet | Community/Behavioral Health | 58 E Clinton St Ste 200, Joliet, IL 60432 | 2006-11-01 |
| 1487740932 | Carlla Duster Franklin | Dentist | 2241 Theodore Street, Crest Hill, IL 60432 | 2006-10-04 |
| 1558478883 | Mary Alice Spinabella | Social Worker | 62 West Washington, Joliet, IL 60432 | 2006-08-24 |
| Find all providers in zip 60432 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073950044 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1200 Eagle Street, Joliet, IL 60432 | 2013-05-30 |
| 1346539970 | Yellowstone City County Health Department | Clinic/Center | 209 East Front Avenue, Joliet, MT 59041 | 2011-04-05 |
| 1295104958 | Vna Health Care | Clinic/Center | 2400 Glenwood Ave, Suite 220, Joliet, IL 60435-5474 | 2015-09-23 |
| 1821346115 | Aunt Marthas Youth Service Center, Inc | Clinic/Center | 311 N Ottawa St, Suite 1, Joliet, IL 60432-4048 | 2012-08-17 |
| 1295083574 | Aunt Marthas Youth Service Center, Inc | Clinic/Center | 500 Wilcox St, Suite 234, Joliet, IL 60435-6169 | 2012-08-17 |
| 1902811714 | Will County Community Health Center | Clinic/Center | 1106 Neal Ave, Joliet, IL 60433-2548 | 2006-07-30 |
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| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.