Organization
AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Active
Organization
AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Active
Other names
Aunt Martha's Southeast Side Community Health Center, Aunt Marthas Southeast Side Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN ANNE NOWOCIN (CREDENTIALING COORDINATOR)
(708) 747-7168
Entity
Organization
Contact information
Practice address
3528 E 118TH ST, CHICAGO, IL 60617-7314
(708) 747-7168
(708) 747-7168
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(708) 747-7168
(708) 747-8038
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/21/2007
Last updated
08/05/2026
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