AUNT MARTHA'S YOUTH SERVICE CENTER INC
NPI 1174809503
Clinic/Center - Federally Qualified Health Center (FQHC) in Joliet, IL

Active since October 31, 2011
1301 COPPERFIELD AVENUE, SUITE 201, JOLIET, IL 60432(708) 747-7100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 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 1174809503) is a healthcare organization registered as a federally qualified health center (fqhc) in Joliet, Illinois and active in the NPI registry since October 2011. The organization lists Christopher J Nordloh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174809503
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER INC
Location Address1301 COPPERFIELD AVENUE, SUITE 201Joliet, IL 60432-2056
Mailing Address19990 Governors HighwayOlympia Fields, IL 60461-1021 · (708) 747-7100
Organization SubpartNo
Authorized OfficialChristopher J NordlohCfo · (708) 747-7100
Enumeration DateOctober 31, 2011
Last NPPES UpdateJuly 21, 2022
NPI 1174809503 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
License Licensed in IL · 077
1301 COPPERFIELD AVENUE, Joliet, IL 60432

Other Providers at the Same Location NPPES 2

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

Obstetrics & Gynecology
1301 COPPERFIELD AVENUE, SUITE 113
JOLIET, IL 60432
Internal Medicine (Cardiovascular Disease)
1301 COPPERFIELD AVENUE, SUITE 202
JOLIET, IL 60432

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 1174809503. It was assigned to this organization in the NPPES registry on October 31, 2011.

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

Aunt Martha's Youth Service Center Inc is located at 1301 Copperfield Avenue Suite 201, Joliet, IL 60432. The listed phone number is (708) 747-7100.

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 July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.