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 1780932061

Aunt Martha's Youth Service Center, Inc is a Federally Qualified Health Center (FQHC) in Chicago, Illinois. Registered with an NPI since 2012.

In the registry since
2012
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

45 W 111th St
Chicago, IL 60628-4200
Phone: (877) 692-8686
Fax: (708) 747-8024
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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 number1780932061
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Pennington — Exec. Vp Of Health · (773) 802-7645
NPI enumeratedAugust 17, 2012
Last updated in NPPESNovember 2, 2016
Mailing address19990 Governors Hwy, Olympia Fields, IL 60461-1021

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