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AUNT MARTHA'S YOUTH SERVICE CENTER, INC
NPI 1780828962
Clinic/Center - Federally Qualified Health Center (FQHC) in Park Forest, IL

Active since May 01, 2009
23485 WESTERN AVE, PARK FOREST, IL 60466(708) 747-7100 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 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 1780828962) is a healthcare organization registered as a federally qualified health center (fqhc) in Park Forest, Illinois and active in the NPI registry since May 2009. The organization lists Christopher J Nordloh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780828962
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER, INC
Location Address23485 WESTERN AVEPark Forest, IL 60466-2609
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100
Phone(708) 747-7100
Organization SubpartNo
Authorized OfficialChristopher J NordlohCfo · (708) 747-7100
Enumeration DateMay 1, 2009
Last NPPES UpdateDecember 2, 2010
✔ NPI 1780828962 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
23485 WESTERN AVE, Park Forest, IL 60466
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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 1780828962. It was assigned to this organization in the NPPES registry on May 1, 2009.

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

Aunt Martha's Youth Service Center, Inc is located at 23485 Western Ave, Park Forest, IL 60466. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.