Organization
AUNT MARTHAS YOUTH SERVICE CENTER INC
Active
Other names
Aunt Marthas Vermillion Area 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
614 N GILBERT ST, DANVILLE, IL 61832-3940
(217) 442-8790
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
038
IL
Other
Enumeration date
02/07/2007
Last updated
07/21/2022
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