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FP604668 AUNT MARTHA'S YOUTH SERVICE CENTER, INC. (Active)
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Main Details
Name
AUNT MARTHA'S YOUTH SERVICE CENTER, INC.
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP604668
Grant Number
FPHPA056060
Additional Details
Current Program Status
Active
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
11/9/2004
Last Recertification Date
5/12/2025
Contacts
Authorizing Official
Aunt Martha's
Audrey Pennington, Chief Operating Officer
(708) 747-7100
Primary Contact
Aunt Martha's Health & Wellness
Tamara Lim, VP Quality & Clinical Excellence
(708) 747-7100
Addresses
Street Address
233 WEST JOE ORR ROAD
CHICAGO HEIGHTS, IL 60411
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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3/15/10 UPDATED GRANT # (WAS FPHPA051199); 2/14/07 UPDATED MEDICAID # (WAS 237188150001); 10/27/05 SUBDIV UPDATE;
03/15/2010
June 2025
June 2025
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