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Organization

AUNT MARTHAS YOUTH SERVICE CENTER INC

Active
Other names
Aunt Marthas Great River 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
120 E COURT ST, TOULON, IL 61483-5388
(309) 286-7240
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
047
IL

Other

Enumeration date
04/03/2008
Last updated
07/21/2022
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