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AUNT MARTHAS
NPI 1912030305
Clinic/Center in Chicago Heights, IL

Active since March 14, 2007CLIA 14D0916227 · Microscopy
1536 VINCENNES AVE, CHICAGO HEIGHTS, IL 60411(708) 756-1134 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aunt Marthas NPPES

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

AUNT MARTHAS (NPI 1912030305) is a healthcare organization registered as a clinic/center in Chicago Heights, Illinois and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through June 17, 2028 and lists Sushma M Raghavendra, Family Physician, as its authorized official.

NPPES Registry Identity

NPI1912030305
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAUNT MARTHAS
Location Address1536 VINCENNES AVEChicago Heights, IL 60411-3458
Mailing Address1536 Vincennes AveChicago Heights, IL 60411-3458
Phone(708) 756-1134
Organization SubpartNo
Authorized OfficialSushma M RaghavendraFamily Physician · (708) 756-1135
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912030305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1536 VINCENNES AVE, Chicago Heights, IL 60411
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0916227

Aunt Marthas Chicago Heights Community Health Ctr · Chicago Heights, IL
Active · expires Jun 17, 2028
CLIA Number14D0916227
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 18, 2026
Certificate Expiration DateJune 17, 2028
Laboratory DirectorCharles Barron M D
Laboratory Phone(708) 747-7677
Laboratory LocationAunt Marthas Chicago Heights Community Health Ctr1536 Vincennes Ave, Chicago Heights, IL 60411
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

AUNT MARTHA'S HEALTH CARE
Clinic/Center
1536 VINCENNES AVE
CHICAGO HEIGHTS, IL 60411
Cook County (708) 756-1135
JENNIFER BYRD MD
Family Medicine
1536 VINCENNES AVE
CHICAGO HEIGHTS, IL 60411
Cook County (708) 756-1135
DR. BRITTANI JAMES M.D.
Family Medicine
1536 VINCENNES AVE
CHICAGO HEIGHTS, IL 60411
Cook County (877) 692-8686
JOSE VALLE D.O.
Dentist
1536 VINCENNES AVE
CHICAGO HEIGHTS, IL 60411
Cook County (708) 709-1044
AUNT MARTHAS YOUTH SERVICE CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1536 VINCENNES AVE
CHICAGO HEIGHTS, IL 60411
Cook County (708) 747-7100
VERONICA ROSE HILTSCHER LCSW
Social Worker (Clinical)
1536 VINCENNES AVE
CHICAGO HEIGHTS, IL 60411
Cook County (708) 709-3214

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 Marthas's NPI number?

The NPI number for Aunt Marthas is 1912030305. It was assigned to this organization in the NPPES registry on March 14, 2007.

Where is Aunt Marthas located?

Aunt Marthas is located at 1536 Vincennes Ave, Chicago Heights, IL 60411. The listed phone number is (708) 756-1134.

What is Aunt Marthas's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Aunt Marthas hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0916227) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aunt Marthas was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.