Organization Active NPI

Aunt Martha's Health Care

  • Clinic/Center
  • Chicago Heights, IL
National Provider Identifier
1013032523
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AUNT MARTHA'S HEALTH CARE
Practice address
1536 Vincennes Ave
Chicago Heights, IL 60411-3458
Phone
(708) 756-1135
Fax
(708) 754-2051
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa Maria Dorsey, M.D.
Title
Physician
Phone
(708) 756-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X IL Primary

Addresses

Primary practice location

1536 Vincennes Ave
Chicago Heights, IL 60411-3458

Mailing address

1442 E 63Rd St
Chicago, IL 60637-2948
Phone (773) 288-6680

National Provider Directory

National Provider Directory
Tax ID family
Aunt Marthas Youth Service74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

1536 Vincennes Ave
Chicago Heights, IL 60411
Phone (708) 754-1044

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013032523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 E 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606372948",
            "telephone_number": "773-288-6680",
            "fax_number": "708-754-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 VINCENNES AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113458",
            "telephone_number": "708-756-1135",
            "fax_number": "708-754-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUNT MARTHA'S HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-756-1135",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.