Organization
AUNT MARTHAS YOUTH SERVICE CENTER INC
Active
Organization
AUNT MARTHAS YOUTH SERVICE CENTER INC
Active
Other names
Aunt Marthas Aurora Satellite Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER J NORDLOH (CFO)
(708) 747-7100
Entity
Organization
Contact information
Practice address
317 E INDIAN TRL, AURORA, IL 60505-1734
(708) 747-7100
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
042
IL
261QF0400X
Federally Qualified Health Center (FQHC)
050
IL
Other
Enumeration date
03/02/2007
Last updated
07/21/2022
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