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AUNT MARTHA'S SEADAC
NPI 1104365063
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Active since February 13, 2017
8640 S SOUTH CHICAGO AVE, CHICAGO, IL 60617(704) 747-7100 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2023, Feb 13, 2017 (2 updates tracked since 2017).

About Aunt Martha's Seadac NPPES

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

AUNT MARTHA'S SEADAC (NPI 1104365063) is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since February 2017. The organization lists Mary Martin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104365063
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameAUNT MARTHA'S HEALTH AND WELLNESS, INC.
Location Address8640 S SOUTH CHICAGO AVEChicago, IL 60617-2314
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100
Phone(704) 747-7100
Organization SubpartNo
Authorized OfficialMary MartinCfo · (708) 825-5976
Enumeration DateFebruary 13, 2017
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1104365063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
8640 S SOUTH CHICAGO AVE, Chicago, IL 60617
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Other Names 1

Doing Business AsAunt Martha's Seadac

Other Providers at the Same Location NPPES 3

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

AUNT MARTHA'S YOUTH SERVICE CENTER
Clinic/Center (Rehabilitation, Substance Use Disorder)
8640 S SOUTH CHICAGO AVE
CHICAGO, IL 60617
Cook County (773) 731-9100
AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
8640 S SOUTH CHICAGO AVE
CHICAGO, IL 60617
Cook County (877) 692-8686
AUNT MARTHA'S YOUTH SERVICE CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
8640 S SOUTH CHICAGO AVE
CHICAGO, IL 60617
Cook County (708) 747-7100

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 Health And Wellness, Inc.'s NPI number?

The NPI number for Aunt Martha's Health And Wellness, Inc. is 1104365063. It was assigned to this organization in the NPPES registry on February 13, 2017. The provider is doing business as Aunt Martha's Seadac.

Where is Aunt Martha's Health And Wellness, Inc. located?

Aunt Martha's Health And Wellness, Inc. is located at 8640 S South Chicago Ave, Chicago, IL 60617. The listed phone number is (704) 747-7100.

What is Aunt Martha's Health And Wellness, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Aunt Martha's Health And Wellness, Inc. was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.