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AUNT MARTHA'S YOUTH SERVICE CENTER, INC.
NPI 1780932061
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since August 17, 2012
45 W 111TH ST, CHICAGO, IL 60628(877) 692-8686(708) 747-8024 Get Directions Write a Review

NPPES record last updated: November 2, 2016. Verified against the NPPES registry weekly; last sync: September 20, 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 1780932061) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since August 2012. The organization lists Audrey Pennington, Exec. Vp Of Health, as its authorized official.

NPPES Registry Identity

NPI1780932061
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER, INC.
Location Address45 W 111TH STChicago, IL 60628-4200
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100 · Fax (708) 747-0710
Phone(877) 692-8686
Fax(708) 747-8024
Organization SubpartNo
Authorized OfficialAudrey PenningtonExec. Vp Of Health · (773) 802-7645
Enumeration DateAugust 17, 2012
Last NPPES UpdateNovember 2, 2016
✔ NPI 1780932061 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
45 W 111TH ST, Chicago, IL 60628
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Other Providers at the Same Location NPPES 20

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

SHAKIRA AYANLAJA APN
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3195
JUPITER JANELLE JONES FNP
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
NEW ROSE HEALTHCARE MANAGEMENT LLC
Emergency Medicine
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
JOY B WEST MD SC
Obstetrics & Gynecology
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
MADHUPA SUD MD SC
Pediatrics
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3460
MRS. BRENDA BEBEN RD
Dietitian, Registered
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3234
TIARA THOMPSON NURSE PRACTITIONER
Nurse Practitioner (Family)
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000
DR. ALEXANDRA ISA ASROW M.D.
Emergency Medicine
45 W 111TH ST
CHICAGO, IL 60628
Cook County (773) 995-3000

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 1780932061. It was assigned to this organization in the NPPES registry on August 17, 2012.

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

Aunt Martha's Youth Service Center, Inc. is located at 45 W 111th St, Chicago, IL 60628. The listed phone number is (877) 692-8686.

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 November 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.