AUNT MARTHAS YOUTH SERVICE CENTER INC (NPI# 1356481899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356481899 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHAS YOUTH SERVICE CENTER INC |
| Practice Address |
2124 Ogden Ave Aurora IL 60504-7595 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 8776928686 |
| Practice Fax Number | 7087478024 |
| Mailing Telephone | 7087477100 |
| Mailing Fax Number | 7087470710 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-11-02 |
| Authorized Official Name | AUDREY PENNINGTON (EXEC. VP OF HEALTH) |
| Authorized Official Telephone | 7738027645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
IL | Ambulatory Health Care Facilities | |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235432436 | Aunt Marthas Youth Service Center Inc | Foster Care Agency | 400 Forest Blvd, Park Forest, IL 60466-2002 | 2010-12-09 |
| 1871724369 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 52 W 162nd St, South Holland, IL 60473-2061 | 2009-07-31 |
| 1336310523 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 602 Torrence Ave, Calumet City, IL 60409-3813 | 2008-03-17 |
| 1811171143 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 3528 E 118th St, Chicago, IL 60617-7314 | 2007-12-21 |
| 1104954890 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 317 E Indian Trl, Aurora, IL 60505-1734 | 2007-03-02 |
| 1184764730 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 159 E 154th St, Harvey, IL 60426-3325 | 2007-02-06 |
| 1790825347 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 1777 E Court St, Kankakee, IL 60901-2670 | 2007-02-06 |
| 1922148501 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 1536 Vincennes Ave, Chicago Heights, IL 60411-3458 | 2007-02-06 |
| 1144523341 | Aunt Marthas Youth Service Center Inc | Foster Care Agency | 191 W 155th Pl, Harvey, IL 60426-3413 | 2010-12-09 |
| 1619104098 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2009-06-12 |
| Street Address |
2124 OGDEN AVE |
| City | AURORA |
| State | IL |
| Zip Code | 60504-7595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699270132 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2018-03-27 |
| 1982111407 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2018-01-05 |
| 1831627520 | Lauren Helen Fischer | Physical Therapist | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2017-05-25 |
| 1801332309 | Jennifer Mccarthy | Physical Therapist | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2017-01-09 |
| 1417337825 | Northwest Podiatry Center | Durable Medical Equipment & Medical Supplies | 2124 Ogden Ave, Suite 101, Aurora, IL 60504-7514 | 2015-06-02 |
| 1942689062 | Elite Dental Specialists | Dentist | 2124 Ogden Ave, Suite 104, Aurora, IL 60504-7514 | 2015-05-21 |
| 1750712980 | Alise Svoboda | Physical Therapy Assistant | 2124 Ogden Ave, Suite 102, Aurora, IL 60504-7514 | 2013-12-13 |
| 1528303484 | Elite Periodontics PC | Dentist | 2124 Ogden Ave, Suite 104, Aurora, IL 60504-7514 | 2012-12-04 |
| 1154628642 | Wcs Occupational Rehabilitation & Sports Medicine, Inc. | Specialist | 2124 Ogden Ave, Suite 102, Aurora, IL 60504-7514 | 2011-02-17 |
| 1053637553 | Aurora Dentrix PC | Dentist | 2124 Ogden Ave, Aurora, IL 60504-7514 | 2010-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1891136149 | Vna Health Care | Clinic/Center | 1400 Indian Avenue, Aurora, IL 60505-3136 | 2013-07-16 |
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| 1568707776 | Metro Community Provider Network, Inc. | Clinic/Center | 15501 East 13th Avenue, Aurora, CO 80011-7203 | 2012-11-29 |
| 1558657312 | Metro Community Provider Network, Inc. | Clinic/Center | 791 Chambers Rd Ste 220, Aurora, CO 80011-7112 | 2011-06-21 |
| 1649430174 | Metro Community Provider Network, Inc. | Clinic/Center | 700 Potomac St Ste A, Aurora, CO 80011-6845 | 2008-06-09 |
| 1912021007 | Vna Health Care | Clinic/Center | 56 Jackson St, Aurora, IL 60505-4300 | 2007-03-16 |
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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.