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AUNT MARTHA'S BLUE ISLAND COMMUNITY HEALTH CENTER
NPI 1174070676
Clinic/Center - Federally Qualified Health Center (FQHC) in Blue Island, IL

Active since September 01, 2016
12139 S. WESTERN AVE, BLUE ISLAND, IL 60406(877) 692-8686 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2017, Sep 1, 2016 (2 updates tracked since 2016).

About Aunt Martha's Blue Island Community Health Center NPPES

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

AUNT MARTHA'S BLUE ISLAND COMMUNITY HEALTH CENTER (NPI 1174070676) is a healthcare organization registered as a federally qualified health center (fqhc) in Blue Island, Illinois and active in the NPI registry since September 2016. The organization lists Audrey Pennington, Executive Vp Of Health, as its authorized official.

NPPES Registry Identity

NPI1174070676
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER
Location Address12139 S. WESTERN AVEBlue Island, IL 60406
Mailing Address19900 Governors DrOlympia Fields, IL 60461-1057
Phone(877) 692-8686
Organization SubpartNo
Authorized OfficialAudrey PenningtonExecutive Vp Of Health · (773) 802-7645
Enumeration DateSeptember 1, 2016
Last NPPES UpdateJanuary 13, 20172 updates tracked since enumeration
✔ NPI 1174070676 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
12139 S. WESTERN AVE, Blue Island, IL 60406
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Other Names 1

Doing Business AsAunt Martha's Blue Island Community Health Center

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's NPI number?

The NPI number for Aunt Martha's Youth Service Center is 1174070676. It was assigned to this organization in the NPPES registry on September 1, 2016. The provider is doing business as Aunt Martha's Blue Island Community Health Center.

Where is Aunt Martha's Youth Service Center located?

Aunt Martha's Youth Service Center is located at 12139 S. Western Ave, Blue Island, IL 60406. The listed phone number is (877) 692-8686.

What is Aunt Martha's Youth Service Center'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 was last updated on January 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.