OrganizationActive
Aunt Martha'S Youth Service Center, Inc
NPI 1407014046 · Federally Qualified Health Center (FQHC) · Hanover Park, IL
Provider details
- NPI number
- 1407014046
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Nordloh, Cfo(708) 747-7100
- License
- 049 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1515 Lake St
Hanover Park, IL 60133-4896
Phone: (708) 747-7100
Approximate (ZIP-level) locationGet directions
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.