Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aunt Martha's Youth Service Center, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1407014046

Aunt Martha's Youth Service Center, Inc is a Federally Qualified Health Center (FQHC) in Hanover Park, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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

1515 Lake St
Hanover Park, IL 60133-4896
Phone: (708) 747-7100
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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 · Licence 049 (IL)

Record details

NPI number1407014046
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Nordloh — Cfo · (708) 747-7100
NPI enumeratedMay 30, 2008
Last updated in NPPESJuly 21, 2022
Mailing address19990 Governors Hwy, Olympia Fields, IL 60461-1021

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