AUNT MARTHA'S YOUTH SERVICE CENTER (NPI# 1710424916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710424916 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER |
| Other Organization Name | AUNT MARTHA'S BREMEN |
| Practice Address |
15350 Oak Park Ave Oak Forest IL 60452-1500 |
| Mailing Address |
19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Practice Telephone | 7087477100 |
| Mailing Telephone | 7087477100 |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | MARY MARTIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7088255976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aunt Martha's Bremen | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1861637878 | Aunt Martha's Youth Service Center | Community/Behavioral Health | 440 Forest Blvd, Park Forest, IL 60466-2002 | 2008-12-04 |
| 1720258619 | Aunt Martha's Youth Service Center | Community/Behavioral Health | 15020 Cicero Ave, Suite D, Oak Forest, IL 60452-1441 | 2008-03-06 |
| 1295835023 | Aunt Martha's Youth Service Center | Clinic/Center | 8640 S South Chicago Ave, Chicago, IL 60617-2314 | 2006-09-22 |
| 1962949230 | Aunt Martha's Youth Service Center | Clinic/Center | 8640 S South Chicago Ave, Chicago, IL 60617-2314 | 2017-01-25 |
| 1427508464 | Aunt Martha's Youth Service Center | Clinic/Center | 812 N Logan Ave, Danville, IL 61832-3752 | 2016-10-13 |
| 1982150983 | Aunt Martha's Youth Service Center | Clinic/Center | 511 Dundee Ave, East Dundee, IL 60118-1642 | 2016-08-30 |
| 1912452483 | Aunt Martha's Youth Service Center | Clinic/Center | 3703 Doty Rd, Mob 1, Suite 1, Woodstock, IL 60098-7517 | 2016-08-24 |
| 1851626089 | Aunt Martha's Youth Service Center | Clinic/Center | 755 Pulaski Rd, Calumet City, IL 60409-4030 | 2009-10-06 |
| 1568638500 | Aunt Martha's Youth Service Center | Case Management | 191 W 155th Pl, Harvey, IL 60426-3413 | 2008-04-30 |
| Street Address |
15350 OAK PARK AVE |
| City | OAK FOREST |
| State | IL |
| Zip Code | 60452-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841508926 | Bremen Youth Services | Community/Behavioral Health | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2010-09-22 |
| 1891234753 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2017-02-13 |
| 1629355078 | Laura Lorenz | Social Worker | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2011-11-14 |
| 1710264486 | Erica Sidenstick | Social Worker | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2011-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1457982340 | Cook County | Family Medicine | 15900 S. Cicero, Oak Forest, IL 60452 | 2020-01-29 |
| 1265942718 | Suzanne Ankarlo | Speech-Language Pathologist | 3545 West Victoria Drive, Oak Forest, IL 60452 | 2017-10-10 |
| 1154855112 | True Laboratories LLC | Clinical Medical Laboratory | 5320 159th St Ste 505, Oak Forest, IL 60452 | 2017-04-17 |
| 1902347297 | Mena Loka Sr. | Physical Therapy Assistant | 6404 Nature Dr, Oak Forest, IL 60452 | 2017-03-20 |
| 1447797097 | Angelique Mayes-lamon | Clinic/Center | 15900 S Cicero Avenue, Building E, Oak Forest, IL 60452 | 2017-01-20 |
| 1265980759 | Surinder Sharma I | Pharmacist | 15900 So Cicero Ave, 15900 So Cicero Ave Bldg F, Oak Forest, IL 60452 | 2016-09-14 |
| 1326596800 | Gervaise Hunter-morris | Pharmacist | 15900 S. Cicero Avenue, Oak Forest, IL 60452 | 2016-09-14 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. | Clinic/Center | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
| 1760836720 | Thh Acquisition LLC I | Durable Medical Equipment & Medical Supplies | 4149 166th St, Oak Forest, IL 60452 | 2016-04-15 |
| Find all providers in zip 60452 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | OAK FOREST |
| Zip Code | 60452 |
Please comment or provide details below to improve the information on AUNT MARTHA'S YOUTH SERVICE CENTER.
| 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.