Aunt Martha's Health Center West Joliet

NPI 1154679116 - Clinic/Center - 261QF0400X

NPI Details
NPI 1154679116
Enumeration Date 08/23/2012
Last Updated 08/24/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHRISTOPHER J CHRISTOPHER
Position CFO
Phone (708) 747-7100
Fax
Practice Location
19990 GOVERNORS HWY
OLYMPIA FIELDS IL, 60461-1021, US
Phone (708) 747-7100
Fax
Business Location
333 MADISON ST
SUITE 150
JOLIET IL, 60435-8200, US
Phone
Fax
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
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According to our database, Aunt Martha's Health Center West Joliet NPI is 1154679116, taxonomy code is 261QF0400X Aunt Martha's Health Center West Joliet physically located at 19990 Governors Hwy, Olympia Fields IL, 60461-1021. NPI Number 1033115704 has the healthcare provider type.

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1154679116 NPI number is provided on an as is basis without warranty of any kind. 1154679116 is maintained by the National Plan & Provider Enumeration System. The contents of Aunt Martha's Health Center West Joliet are for informational purposes only.