AUNT MARTHA'S YOUTH SERVICE CENTER, INC
NPI 1407014046
Clinic/Center - Federally Qualified Health Center (FQHC) in Hanover Park, IL

Active since May 30, 2008
1515 LAKE ST, HANOVER PARK, IL 60133(708) 747-7100 Get Directions Write a Review

NPPES record last updated: July 21, 2022. 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 1407014046) is a healthcare organization registered as a federally qualified health center (fqhc) in Hanover Park, Illinois and active in the NPI registry since May 2008. The organization lists Christopher J Nordloh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1407014046
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER, INC
Location Address1515 LAKE STHanover Park, IL 60133-4896
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100
Organization SubpartNo
Authorized OfficialChristopher J NordlohCfo · (708) 747-7100
Enumeration DateMay 30, 2008
Last NPPES UpdateJuly 21, 2022
NPI 1407014046 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 · 049
1515 LAKE ST, Hanover Park, IL 60133

Other Providers at the Same Location NPPES

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

Family Medicine
1515 LAKE ST, ALEXIAN BROTHER ST ALEXIUS MEDICAL CENTER
HANOVER PARK, IL 60133

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 1407014046. It was assigned to this organization in the NPPES registry on May 30, 2008.

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

Aunt Martha's Youth Service Center, Inc is located at 1515 Lake St, Hanover Park, IL 60133. 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 with the weekly NPPES data releases published by CMS.