AUNT MARTHA'S HEALTH AND WELLNESS INC. NPI 1508455908

NPI Information

AUNT MARTHA'S HEALTH AND WELLNESS, INC. is a federally qualified health center (fqhc) clinic center in Chicago, IL. AUNT MARTHA'S HEALTH AND WELLNESS, INC. NPI is 1508455908. The provider is registered as an organization entity type.

The provider's business location address is:

1044 N FRANCISCO AVE STE 101
CHICAGO, IL
ZIP 60622-743
Phone: (708) 825-7511
Fax: (708) 747-8024

The provider's authorized official is Maria Borrayo .
The authorized official title is Director Of Patient Access and has the following contact phone number (708) 825-7511.

The CLIA number assigned to this NPI record is 14D2211605 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/12/2021 and was last updated on 1/12/2021.

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:

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