OrganizationActive
Aunt Matha'S Youth Service Center
NPI 1902269095 · Health Service Clinic/Center · Olympia Fields, IL
Provider details
- NPI number
- 1902269095
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clarence Parks, Pcp - Family Practice Medicine(815) 275-1540
- License
- 1275992323 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Phone: (708) 747-7100
Street-level locationGet directions
Mailing address
898 Brompton Cir
Bolingbrook, IL 60440-1485
Registry dates
- Enumerated
- 2016-04-05
- Last updated
- 2016-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.