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, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1104054386

Aunt Martha's Youth Service Center, Inc is a Federally Qualified Health Center (FQHC) in Hazel Crest, Illinois. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17850 Kedzie Ave Ste 3200
Hazel Crest, IL 60429-2058
Phone: (708) 335-5201
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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 number1104054386
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Nordloh — Cfo · (708) 747-7100
NPI enumeratedJune 26, 2009
Last updated in NPPESDecember 2, 2010
Mailing address19990 Governors Hwy, Olympia Fields, IL 60461-1021

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