1. Home
  2. Directory
  3. Illinois
  4. Calumet City
  5. Clinic Center
  6. NPI Profile

AUNT MARTHA'S YOUTH SERVICE CENTER
NPI 1851626089
Clinic/Center - Federally Qualified Health Center (FQHC) in Calumet City, IL

Active since October 06, 2009
755 PULASKI RD, CALUMET CITY, IL 60409(708) 747-7100 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aunt Martha's Youth Service Center NPPES

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

AUNT MARTHA'S YOUTH SERVICE CENTER (NPI 1851626089) is a healthcare organization registered as a federally qualified health center (fqhc) in Calumet City, Illinois and active in the NPI registry since October 2009. The organization lists Christopher Nordloh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1851626089
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameAUNT MARTHA'S YOUTH SERVICE CENTER
Location Address755 PULASKI RDCalumet City, IL 60409-4030
Mailing Address19990 Governors HwyOlympia Fields, IL 60461-1021 · (708) 747-7100
Phone(708) 747-7100
Organization SubpartNo
Authorized OfficialChristopher NordlohCfo · (708) 747-7100
Enumeration DateOctober 6, 2009
Last NPPES UpdateDecember 2, 2010
✔ NPI 1851626089 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
755 PULASKI RD, Calumet City, IL 60409
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========067IL

Other Providers at the Same Location NPPES

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

ADALBERTO OSCAR REYES JR. ATC
Specialist/Technologist (Athletic Trainer)
755 PULASKI RD
CALUMET CITY, IL 60409
Cook County (708) 585-1036

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 1851626089. It was assigned to this organization in the NPPES registry on October 6, 2009.

Where is Aunt Martha's Youth Service Center located?

Aunt Martha's Youth Service Center is located at 755 Pulaski Rd, Calumet City, IL 60409. The listed phone number is (708) 747-7100.

What is Aunt Martha's Youth Service Center'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 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.