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CH05972C AUNT MARTHA'S HEALTH & WELLNESS, INC. (Active)
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Main Details
Name
AUNT MARTHA'S HEALTH & WELLNESS, INC.
Subdivision Name
CARPENTERSVILLE COMMUNITY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001290
340B ID
CH05972C
Grant Number
H80CS00685
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
7/1/2014
Participating Approval Date
11/30/2004
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Aunt Martha's
Audrey Pennington, Chief Operating Officer
(708) 747-7100
Primary Contact
Aunt Martha's Health & Wellness
Franca Liburdi, Director of Staff Relations & Resources
(708) 747-7100
Addresses
Street Address
3003 WAKEFIELD BLVD.
CARPENTERSVILLE, IL 60110-2422
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/9/14 enrolled 1/1/05 thru 3/31/14, not enrolled 4/1/14 thru 6/30/14 due to failure to recertify, reinstated based on on-line registration submitted in April 2014;
06/09/2014
NEW SITE 01/01/2005
01/01/2005
April 2025
April 2025
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