Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aunt Martha's Youth Service Center

Organization Federally Qualified Health Center (FQHC) · NPI 1174070676

Aunt Martha's Youth Service Center is a Federally Qualified Health Center (FQHC) in Blue Island, Illinois. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

12139 S Western Ave
Blue Island, IL 60406
Phone: (877) 692-8686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1174070676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Pennington — Executive Vp Of Health · (773) 802-7645
Other names Aunt Martha'S Blue Island Community Health Center
NPI enumeratedSeptember 1, 2016
Last updated in NPPESJanuary 13, 2017
Mailing address19900 Governors Dr, Olympia Fields, IL 60461-1057

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