Aunt Marthas Youth Service

NPI 1013045707 - Clinic/Center - 261QF0400X

NPI Details
NPI 1013045707
Enumeration Date 03/02/2007
Last Updated 04/23/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARY M MARY
Position CONTROLLER
Phone (708) 747-7100
Fax
Practice Location
19990 GOVERNORS HWY
OLYMPIA FIELDS IL, 60461-1021, US
Phone (708) 747-7100
Fax
Business Location
19990 GOVERNORS HWY
OLYMPIA FIELDS IL, 60461-1021, US
Phone (708) 747-7100
Fax
Toxanomy
Taxonomy Code 261QF0400X
License State Illinois
License Number =========041
Remove 1013045707 NPI Number
 

According to our database, Aunt Marthas Youth Service NPI is 1013045707, taxonomy code is 261QF0400X and license number is =========041, license state is located at Illinois. Aunt Marthas Youth Service physically located at 19990 Governors Hwy, Olympia Fields IL, 60461-1021. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1013045707 NPI number is provided on an as is basis without warranty of any kind. 1013045707 is maintained by the National Plan & Provider Enumeration System. The contents of Aunt Marthas Youth Service are for informational purposes only.