AUNT MARTHA'S YOUTH SERVICE CENTER INC
NPI 1205067923
Clinic/Center - Federally Qualified Health Center (FQHC) in South Holland, IL

Active since July 29, 2009
64 W 162ND ST, DENTAL SUITE, SOUTH HOLLAND, IL 60473(708) 747-7100 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 1205067923) is a healthcare organization registered as a federally qualified health center (fqhc) in South Holland, Illinois and active in the NPI registry since July 2009. The organization lists Christopher J Nordloh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205067923
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER INC
Location Address64 W 162ND ST, DENTAL SUITESouth Holland, IL 60473-2061
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100
Organization SubpartNo
Authorized OfficialChristopher J NordlohCfo · (708) 747-7100
Enumeration DateJuly 29, 2009
Last NPPES UpdateDecember 2, 2010
NPI 1205067923 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
64 W 162ND ST, South Holland, IL 60473

Other Identifiers 1

Medicaid=========066IL

Other Providers at the Same Location NPPES

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

Dentist (Dental Public Health)
64 W 162ND ST
SOUTH HOLLAND, IL 60473

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 1205067923. It was assigned to this organization in the NPPES registry on July 29, 2009.

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

Aunt Martha's Youth Service Center Inc is located at 64 W 162nd St Dental Suite, South Holland, IL 60473. 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 December 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.