AUNT MARTHA'S YOUTH SERVICE CENTER (NPI# 1982150983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982150983 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S YOUTH SERVICE CENTER |
| Other Organization Name | AUNT MARTHA'S EAST DUNDEE COMMUNITY HEALTH CENTER |
| Practice Address |
511 Dundee Ave East Dundee IL 60118-1642 |
| Mailing Address |
19900 Governors Dr Olympia Fields IL 60461-1057 |
| Practice Telephone | 8776928686 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | AUDREY PENNINGTON (EXECUTIVE VP OF HEALTH) |
| Authorized Official Telephone | 7738027645 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Aunt Martha's East Dundee Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
| 1861637878 | Aunt Martha's Youth Service Center | Community/Behavioral Health | 440 Forest Blvd, Park Forest, IL 60466-2002 | 2008-12-04 |
| 1720258619 | Aunt Martha's Youth Service Center | Community/Behavioral Health | 15020 Cicero Ave, Suite D, Oak Forest, IL 60452-1441 | 2008-03-06 |
| 1295835023 | Aunt Martha's Youth Service Center | Clinic/Center | 8640 S South Chicago Ave, Chicago, IL 60617-2314 | 2006-09-22 |
| 1710424916 | Aunt Martha's Youth Service Center | Clinic/Center | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2017-01-25 |
| 1962949230 | Aunt Martha's Youth Service Center | Clinic/Center | 8640 S South Chicago Ave, Chicago, IL 60617-2314 | 2017-01-25 |
| 1427508464 | Aunt Martha's Youth Service Center | Clinic/Center | 812 N Logan Ave, Danville, IL 61832-3752 | 2016-10-13 |
| 1912452483 | Aunt Martha's Youth Service Center | Clinic/Center | 3703 Doty Rd, Mob 1, Suite 1, Woodstock, IL 60098-7517 | 2016-08-24 |
| 1851626089 | Aunt Martha's Youth Service Center | Clinic/Center | 755 Pulaski Rd, Calumet City, IL 60409-4030 | 2009-10-06 |
| 1568638500 | Aunt Martha's Youth Service Center | Case Management | 191 W 155th Pl, Harvey, IL 60426-3413 | 2008-04-30 |
| Street Address |
511 DUNDEE AVE |
| City | EAST DUNDEE |
| State | IL |
| Zip Code | 60118-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548306012 | Panita Chiemmongkoltip | Pediatrics | 511 Dundee Ave, East Dundee, IL 60118-1642 | 2007-01-30 |
| 1720397714 | Jan Odiaga | Nurse Practitioner | 511 Dundee Ave, East Dundee, IL 60118-1642 | 2010-09-25 |
| 1932368032 | Rakhal Muralimohan Reddy | Pediatrics | 511 Dundee Ave, East Dundee, IL 60118-1642 | 2008-06-03 |
| 1013059534 | Farzeen Anwar | Physician Assistant | 511 Dundee Ave, East Dundee, IL 60118-1642 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093291411 | Pro Dental Care Ltd | Clinic/Center | 1053 Main Street, Sleepy Hollow, IL 60118 | 2018-07-18 |
| 1104333640 | Natasha Ann Radnovich | Behavioral Analyst | 533 S 5th St, West Dundee, IL 60118 | 2018-01-05 |
| 1588105639 | Rabije Hajdini | Counselor | 528 Market Loop # 4b, West Dundee, IL 60118 | 2017-03-08 |
| 1942752548 | Suhark Healthcare and Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 600 Spring Hill Ring Rd Ste 109, West Dundee, IL 60118 | 2016-10-29 |
| 1386043867 | Jennifer Pate | Physical Therapist | 117 S 6th St, West Dundee, IL 60118 | 2014-08-20 |
| 1255755096 | Associates In Behavioral Health Care | Counselor | 783 8th Street, Century Plaza, West Dundee, IL 60118 | 2014-02-14 |
| 1003043290 | Castle Ventures, Inc. | In Home Supportive Care | 513 W. Main St., W. Dundee, IL 60118 | 2009-06-16 |
| 1114199965 | Brian Scott Vence | Dentist | 700 Willow Lane, Suite G, West Dundee, IL 60118 | 2008-04-01 |
| 1871703595 | Pallavi Gangupantula | Physical Therapist | 600 Spring Hill Ring Road,suite 118, West Dundee, IL 60118 | 2007-05-23 |
| 1104965219 | Barbra Mccoy Getz | Social Worker | 213 Jamestowne, Sleepy Hollow, IL 60118 | 2007-02-05 |
| Find all providers in zip 60118 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003365412 | Legacy Medical Care Inc | Clinic/Center | 519 Dundee Ave, East Dundee, IL 60118-1642 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | EAST DUNDEE |
| Zip Code | 60118 |
Please comment or provide details below to improve the information on AUNT MARTHA'S YOUTH SERVICE CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.