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Organization

AUNT MARTHA'S HEALTH AND WELLNESS, INC.

Active
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Organization

AUNT MARTHA'S HEALTH AND WELLNESS, INC.

Active
Other names
Aunt Martha's Rockford CHC
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN ANNE NOWOCIN (CREDENTIALING COORDINATOR)
(708) 747-7168
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) 747-7168

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
05/26/2026
Last updated
05/26/2026
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