Organization
AUNT MARTHAS YOUTH SERVICE CENTER INC
Active
Organization
AUNT MARTHAS YOUTH SERVICE CENTER INC
Active
Other names
Aunt Marthas Iroquois 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
200 E WALNUT ST, WATSEKA, IL 60970-1356
(708) 747-7100
(708) 747-0710
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(708) 747-7100
(708) 747-0710
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
03/22/2011
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