Organization
AUNT MARTHA'S HEALTH AND WELLNESS
Active
Other names
Aunt Martha's Rockford Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY PENNINGTON (COO)
(773) 802-7645
Entity
Organization
Contact information
Practice address
345 EXECUTIVE PKWY STE L1, ROCKFORD, IL 61107-5291
(877) 692-8686
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(708) 747-7100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
09/29/2023
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