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AUNT MATHA'S YOUTH SERVICE CENTER
NPI 1902269095
Clinic/Center - Health Service in Olympia Fields, IL

Active since April 05, 2016
19990 GOVERNORS HWY, OLYMPIA FIELDS, IL 60461(708) 747-7100 Get Directions Write a Review

NPPES record last updated: April 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aunt Matha's Youth Service Center NPPES

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

AUNT MATHA'S YOUTH SERVICE CENTER (NPI 1902269095) is a healthcare organization registered as a health service in Olympia Fields, Illinois and active in the NPI registry since April 2016. The organization lists Clarence Parks, Pcp - Family Practice Medicine, as its authorized official.

NPPES Registry Identity

NPI1902269095
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameAUNT MATHA'S YOUTH SERVICE CENTER
Location Address19990 GOVERNORS HWYOlympia Fields, IL 60461-1021
Mailing Address898 Brompton CirBolingbrook, IL 60440-1485 · (847) 420-9664
Phone(708) 747-7100
Organization SubpartNo
Authorized OfficialClarence ParksPcp - Family Practice Medicine · (815) 275-1540
Enumeration DateApril 5, 2016
✔ NPI 1902269095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in IL · 1275992323
19990 GOVERNORS HWY, Olympia Fields, IL 60461
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Other Identifiers 1

Other1275992323IL · National Plan & Provider Enumeration

Other Providers at the Same Location NPPES 16

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

AUNT MARTHAS YOUTH SERVICE
Clinic/Center (Federally Qualified Health Center (FQHC))
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-7100
SAISHA GUPTA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-7168
DR. DAVID ANDREW KRONE MD
Psychiatry & Neurology (Psychiatry)
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (847) 757-5900
AUNT MARTHAS YOUTH SERVICE CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-7100
MR. ARTHUR PILAPIL OLIVEROS FNP-BC (DNP)
Nurse Practitioner (Family)
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-7100
AISHAH ASMA YANSSANEH MD
Psychiatry & Neurology (Psychiatry)
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (877) 692-8686
LESLIE PHILLIPS
Counselor (Professional)
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-7100
CHARLES K. BARRON JR. MD
Family Medicine
19990 GOVERNORS HWY
OLYMPIA FIELDS, IL 60461
Cook County (708) 747-7100

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 Matha's Youth Service Center's NPI number?

The NPI number for Aunt Matha's Youth Service Center is 1902269095. It was assigned to this organization in the NPPES registry on April 5, 2016.

Where is Aunt Matha's Youth Service Center located?

Aunt Matha's Youth Service Center is located at 19990 Governors Hwy, Olympia Fields, IL 60461. The listed phone number is (708) 747-7100.

What is Aunt Matha's Youth Service Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Aunt Matha's Youth Service Center was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.