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Organization
AUNT MARTHA'S HEALTH AND WELLNESS
Active
Organization
AUNT MARTHA'S HEALTH AND WELLNESS
Active
Other names
Aunt Martha's Integrated Health Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY MARTIN CPA (CHIEF FINANCIAL OFFICER)
(708) 825-5976
Entity
Organization
Contact information
Practice address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461
(877) 692-8686
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(877) 692-8686
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619104098
AGENCY NPI
IL
Enumeration date
09/04/2018
Last updated
01/08/2019
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