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AUNT MARTHA'S HEALTH AND WELLNESS INC. NPI 1053836395


NPI Information

NPI: 1053836395
Provider Name: AUNT MARTHA'S HEALTH AND WELLNESS, INC.

Doing Business As: AUNT MARTHA'S HEALTH AND WELLNESS STABILIZATION AND ASSESSMENT PROGRAM

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
5001 S MICHIGAN AVE STE B
CHICAGO, IL
ZIP 60615
Phone: (877) 692-8686
Get Directions

AUNT MARTHA'S HEALTH AND WELLNESS, INC. is a rehabilitation and substance use disorder clinic center in Chicago, IL. AUNT MARTHA'S HEALTH AND WELLNESS, INC. NPI is 1053836395. The provider is registered as an organization entity type.
The provider Is Doing Business As Aunt Martha's Health And Wellness Stabilization And Assessment Program.

The provider's business location address is:

5001 S MICHIGAN AVE STE B
CHICAGO, IL
ZIP 60615-112
Phone: (877) 692-8686

The provider's authorized official is Mary M Martin .
The authorized official title is Cfo and has the following contact phone number (708) 825-5976.

The enumeration date for this NPI number is 8/8/2017 and was last updated on 8/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.