AUNT MARTHA'S SEADAC
NPI 1295835023
Clinic/Center - Rehabilitation, Substance Use Disorder in Chicago, IL

Active since September 22, 2006
8640 S SOUTH CHICAGO AVE, CHICAGO, IL 60617(773) 731-9100(708) 747-7907 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Aunt Martha's Seadac NPPES

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

AUNT MARTHA'S SEADAC (NPI 1295835023) is a healthcare organization registered as a rehabilitation, substance use disorder in Chicago, Illinois and active in the NPI registry since September 2006. The organization lists Mary Martin, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1295835023
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER
Location Address8640 S SOUTH CHICAGO AVEChicago, IL 60617-2314
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100 · Fax (708) 747-0710
Fax(708) 747-7907
Organization SubpartNo
Authorized OfficialMary MartinChief Financial Officer · (708) 825-5976
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMarch 8, 2017
NPI 1295835023 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

Other Names 1

Doing Business AsAunt Martha's Seadac

Other Identifiers 2

Medicaid2371881580080IL
Medicaid237248446004IL

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.

Clinic/Center (Mental Health (Including Community Mental Health Center))
8640 S SOUTH CHICAGO AVE
CHICAGO, IL 60617
Clinic/Center (Federally Qualified Health Center (FQHC))
8640 S SOUTH CHICAGO AVE
CHICAGO, IL 60617
Clinic/Center (Rehabilitation, Substance Use Disorder)
8640 S SOUTH CHICAGO AVE
CHICAGO, IL 60617

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 1295835023. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Aunt Martha's Youth Service Center located?

Aunt Martha's Youth Service Center is located at 8640 S South Chicago Ave, Chicago, IL 60617. The listed phone number is (773) 731-9100.

What is Aunt Martha's Youth Service Center'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 Youth Service Center was last updated on March 8, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.