AUNT MARTHAS YOUTH SERVICE CENTER INC (NPI# 1619104098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619104098 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHAS YOUTH SERVICE CENTER INC |
| Practice Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | MR. 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) |
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 |
| 1356481899 | Aunt Marthas Youth Service Center Inc | Clinic/Center | 2124 Ogden Ave, Aurora, IL 60504-7595 | 2007-02-07 |
| 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 |
| Street Address |
19990 GOVERNORS HWY |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225080922 | Aunt Marthas Youth Service Center | Case Management | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2006-05-17 |
| 1063041861 | Benjamin Drew Sanders | Counselor | 19990 Governors Hwy, None, Olympia Fields, IL 60461-1021 | 2020-04-03 |
| 1740835321 | General Hood Md Inc | Obstetrics & Gynecology | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2019-08-09 |
| 1912489188 | Aunt Martha's Health and Wellness | Case Manager/Care Coordinator | 19990 Governors Hwy, Olympia Fields, IL 60461 | 2018-09-04 |
| 1336631100 | Jasmin Scott | Nurse Practitioner | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2018-06-06 |
| 1588198295 | Michael Hanson | Social Worker | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2017-04-19 |
| 1902348592 | Krista Raatjes | Social Worker | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2016-11-14 |
| 1902269095 | Aunt Matha's Youth Service Center | Clinic/Center | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2016-04-05 |
| 1275992323 | Arthur Pilapil Oliveros | Nurse Practitioner | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2016-02-17 |
| 1609124676 | Aunt Marthas Youth Service Center, Inc | Clinic/Center | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2012-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| 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 |
|---|---|---|---|---|
| 1609124676 | Aunt Marthas Youth Service Center, Inc | Clinic/Center | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2012-08-24 |
| 1154679116 | Aunt Martha's Health Center West Joliet | Clinic/Center | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2012-08-23 |
| 1013045707 | Aunt Marthas Youth Service | Clinic/Center | 19990 Governors Hwy, Olympia Fields, IL 60461-1021 | 2007-03-02 |
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|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 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 |
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| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
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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.