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Organization

AUNT MARTHA'S HEALTH AND WELLNESS

Active
Other names
Aunt Martha's Integrated Health Home
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY MARTIN CPA (CHIEF FINANCIAL OFFICER)
(708) 825-5976
Entity
Organization

Contact information

Practice address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461
(877) 692-8686
Mailing address
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461-1021
(877) 692-8686

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251B00000X
Case Management Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1619104098
AGENCY NPI
IL
Enumeration date
09/04/2018
Last updated
01/08/2019
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