AUNT MARTHA'S HEALTH AND WELLNESS, INC. (NPI# 1508455908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508455908 |
| Entity Type | Organization |
| Organization Name | AUNT MARTHA'S HEALTH AND WELLNESS, INC. |
| Practice Address | 1044 N Francisco Ave Ste 101 Chicago IL 60622-2743 |
| Practice Telephone | 7088257511 |
| Practice Fax Number | 7087478024 |
| Mailing Address | 19990 Governors Hwy Olympia Fields IL 60461-1021 |
| Mailing Telephone | 7088257511 |
| Mailing Fax Number | 7087478024 |
| Certification Date | 2021-01-11 |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-12 |
| Authorized Official Telephone | 7088257511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | 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 Community Health Center - Humboldt Park | Other Name |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053836395 | Aunt Martha's Health and Wellness, Inc. · Aunt Martha's Health and Wellness Stabilization and Assessment Program | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-08 | |
| 1609917863 | Aunt Martha's Health and Wellness, Inc. · Aunt Martha's Center for Children's Services | 702 N Logan Ave, Danville, IL 61832-4323 | 2007-02-09 | |
| 1356987184 | Aunt Martha's Health and Wellness, Inc. · Aunt Martha's Integrated Care Center | 5001 S Michigan Ave Ste B, Chicago, IL 60615 | 2019-11-27 | |
| 1164949574 | Aunt Martha's Health and Wellness, Inc. · Aunt Martha's Stabilization and Assessment Cmh Program | 5001 S Michigan Ave Ste B, Chicago, IL 60615-2112 | 2017-08-25 | |
| 1538209077 | Aunt Martha's Health and Wellness, Inc. | 3003 Wakefield Dr, Carpentersville, IL 60110-2422 | 2007-02-07 |
| Street Address | 1044 N FRANCISCO AVE STE 101 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60622-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841768660 | Patricia Grayson-Canty | Nurse Practitioner · Family | 1044 N Francisco Ave Ste 505, Chicago, IL 60622-2743 | 2018-11-09 |
| 1609817782 | Howard S. Hahn | Anesthesiology | 1044 N. Franciso Ave., Chicago, IL 60622-2743 | 2006-06-09 |
| 1003864539 | Daniel A Ivankovich | Orthopaedic Surgery | 1044 N Francisco Ave Ste 203, Chicago, IL 60622-2743 | 2006-05-05 |
| 1619976255 | Joseph A Villalona | Pediatrics · Neonatal-Perinatal Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2005-07-16 |
| 1497753214 | James R Diesfeld | Pain Medicine · Interventional Pain Medicine | 1044 N Francisco Ave Ste 404, Chicago, IL 60622-2743 | 2005-07-14 |
| 1811507775 | Mohammad Raza Khan | Podiatrist | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-08-05 |
| 1003430208 | Jared Kealy | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-06-03 |
| 1346863875 | Indre Aleksaite | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-05-19 |
| 1710516976 | Olha Huzo | Student in an Organized Health Care Education/Training Program | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-04-08 |
| 1023646494 | Oludara Olutomi Talabi | Family Medicine | 1044 N Francisco Ave, Chicago, IL 60622-2743 | 2020-03-31 |
| Find all providers in zip 60622-2743 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124619374 | Leah Paskero | Dental Hygienist | 1600 N Marshfield Ave Unit 201, Chicago, IL 60622 | 2021-01-31 |
| 1447880471 | Erikson Institute | Clinic/Center · Mental Health (Including Community Mental Health Center) | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
| 1720620545 | Emily Claire Bonanno | Counselor · Mental Health | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
| 1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
| 1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
| 1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
| 1073076105 | Nichole Galullo | Social Worker · Clinical | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
| 1003375122 | Alfredo Delgado Perez Sr. | Psychologist · Counseling | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
| 1841773439 | Abigail Hector | Counselor · Professional | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
| 1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
| Find all providers in zip 60622 | ||||
| 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 |
|---|---|---|---|---|
| 1932724390 | Friend Family Health Center, Inc | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 | |
| 1871117937 | Primecare Community Health Inc | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 | |
| 1407482219 | Access Community Health Network | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 | |
| 1427600345 | The Board of Trustees of The University of Illinois | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 | |
| 1114498540 | Pcc Community Wellness Center | 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 | 2018-12-11 | |
| 1427523125 | Howard Brown Health Center | 3533 W North Ave Ste 1, Chicago, IL 60647-7573 | 2018-10-09 | |
| 1336626936 | Heartland International Health Center · Heartland Health Center Gale | 1631 W Jonquil Ter, Chicago, IL 60626-1103 | 2018-07-26 | |
| 1760975304 | Inner-City Muslim Action Network · Iman Oral Health Center | 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 | 2018-06-08 | |
| 1417473851 | Howard Brown Health Center | 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 | 2017-08-17 | |
| 1487193181 | Mile Square Englewood/Cook Satellite Health and Wellness Center | 8150 S Bishop St, Chicago, IL 60620-3854 | 2017-02-15 | |
| Find all providers in CHICAGO | ||||
| City | CHICAGO |
| Zip Code | 60622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912489188 | Aunt Martha's Health and Wellness · Aunt Martha's Integrated Health Home | Case Manager/Care Coordinator | 19990 Governors Hwy, Olympia Fields, IL 60461 | 2018-09-04 |
| 1043746720 | Aunt Martha's Health and Wellness · Aunt Martha's Rockford Community Health Center | Clinic/Center · Federally Qualified Health Center (FQHC) | 1401 E State St, Suite 3000, Rockford, IL 61104-2315 | 2017-05-02 |
| 1427508464 | Aunt Martha's Youth Service Center · Aunt Martha's Vermilion West Community Health Center | Clinic/Center · Federally Qualified Health Center (FQHC) | 812 N Logan Ave, Danville, IL 61832-3752 | 2016-10-13 |
| 1912452483 | Aunt Martha's Youth Service Center · Aunt Martha's Woodstock Community Health Center | Clinic/Center · Federally Qualified Health Center (FQHC) | 3703 Doty Rd, Mob 1, Suite 1, Woodstock, IL 60098-7517 | 2016-08-24 |
| 1487191540 | Aunt Martha's Youth Service Center, Inc. · Aunt Martha's Adapt | Clinic/Center · Mental Health (Including Community Mental Health Center) | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-01-27 |
| 1972705192 | Aunt Martha's Youth Service Center · Aunt Martha's Adapt | Clinic/Center · Rehabilitation, Substance Use Disorder | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2007-06-01 |
| 1467991323 | Aunt Martha's Youth Service Center, Inc · Aunt Martha's Adapt | Clinic/Center · Rehabilitation, Substance Use Disorder | 1777 E Court St, Lower Level, Kankakee, IL 60901-2670 | 2017-02-13 |
| 1710424916 | Aunt Martha's Youth Service Center · Aunt Martha's Bremen | Clinic/Center · Rehabilitation, Substance Use Disorder | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2017-01-25 |
| 1891234753 | Aunt Martha's Youth Service Center, Inc · Aunt Martha's Bremen | Clinic/Center · Mental Health (Including Community Mental Health Center) | 15350 Oak Park Ave, Oak Forest, IL 60452-1500 | 2017-02-13 |
| 1538519111 | Aunt Martha's Youth Service Center, Inc. · Aunt Martha's Bremen | Clinic/Center · Mental Health (Including Community Mental Health Center) | 15350 Oak Park Ave., Oak Forest, IL 60452 | 2016-06-15 |
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| 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.