1. Home
  2. Directory
  3. Illinois
  4. Hazel Crest
  5. Clinic Center
  6. NPI Profile

AUNT MARTHA'S YOUTH SERVICE CENTER, INC.
NPI 1104054386
Clinic/Center - Federally Qualified Health Center (FQHC) in Hazel Crest, IL

Active since June 26, 2009
17850 KEDZIE AVE, SUITE 3200, HAZEL CREST, IL 60429(708) 335-5201 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Aunt Martha's Youth Service Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUNT MARTHA'S YOUTH SERVICE CENTER, INC. (NPI 1104054386) is a healthcare organization registered as a federally qualified health center (fqhc) in Hazel Crest, Illinois and active in the NPI registry since June 2009. The organization lists Christopher J Nordloh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104054386
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER, INC.
Location Address17850 KEDZIE AVE, SUITE 3200Hazel Crest, IL 60429-2058
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100
Phone(708) 335-5201
Organization SubpartNo
Authorized OfficialChristopher J NordlohCfo · (708) 747-7100
Enumeration DateJune 26, 2009
Last NPPES UpdateDecember 2, 2010
✔ NPI 1104054386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
17850 KEDZIE AVE, Hazel Crest, IL 60429
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========064IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VARSHA BHAN MD SC
Clinic/Center (Primary Care)
17850 KEDZIE AVE, SUITE 1700
HAZEL CREST, IL 60429
Cook County (708) 669-1630
DR. SHAMA R. MEHTA M.D.
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 957-4011
NEILESH SHAH MD
Family Medicine
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Cook County (708) 798-8112
DR. DAVID DREYFUSS M.D,
Plastic Surgery
17850 KEDZIE AVE, SUITE 2200
HAZEL CREST, IL 60429
Cook County (708) 799-9782
CHRISTOPHER T. KARDASIS M.D., S.C.
Ophthalmology
17850 KEDZIE AVE, DOCTORS PAVILION SUITE 1200
HAZEL CREST, IL 60429
Cook County (708) 799-3720
MOTILAL A. BHATIA M.D.
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE, 2100
HAZEL CREST, IL 60429
Cook County (708) 957-4010
SUBBA RAO MD SC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
17850 KEDZIE AVE, SUITE 3000
HAZEL CREST, IL 60429
Cook County (708) 798-7878
AYMAN ALZUBI MD
Internal Medicine (Gastroenterology)
17850 KEDZIE AVE, 3200
HAZEL CREST, IL 60429
Cook County (708) 798-8112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aunt Martha's Youth Service Center, Inc.'s NPI number?

The NPI number for Aunt Martha's Youth Service Center, Inc. is 1104054386. It was assigned to this organization in the NPPES registry on June 26, 2009.

Where is Aunt Martha's Youth Service Center, Inc. located?

Aunt Martha's Youth Service Center, Inc. is located at 17850 Kedzie Ave Suite 3200, Hazel Crest, IL 60429. The listed phone number is (708) 335-5201.

What is Aunt Martha's Youth Service Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Aunt Martha's Youth Service Center, Inc. was last updated on December 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.