Aunt Martha'S Health and Wellness
Organization Active NPI Federally Qualified Health Center (FQHC) · Rockford, IL
NPI 1043746720 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1043746720
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- AUNT MARTHA'S HEALTH AND WELLNESS
- Practice address
- 1401 E State St Ste 3000
Rockford, IL 61104-2315 - Phone
- (877) 692-8686
- NPI assigned
- May 2, 2017
- Organization subpart
- No
Authorized official
- Name
- Audrey Pennington
- Title
- Coo
- Phone
- (773) 802-7645
Corporate family (same tax ID) 15
Practitioners 1
-
Veronica Spangler, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2134322 | Aunt Martha'S Rockford | Provider-performed microscopy | Jul 30, 2027 |
National Provider Directory
- Tax ID family
- Aunt Marthas
Locations
1401 E State St
Ste 3000
Rockford, IL 61104
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/auntmarthas/r4/
- https://api.platform.athenahealth.com/13826/brand/4/csg/21/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
1401 E State St Ste 3000
Rockford, IL 61104-2315
Mailing address
19990 Governors Hwy
Olympia Fields, IL 60461-1021
Phone (708) 747-7100
Other names
- Aunt Martha's Rockford Community Health Center
Other providers in Rockford, IL
- Furqan Attar
- Lauren Aubry
- Farah Auckbarallee
- Matthew Aue
- Anna August
- Aunt Martha'S Health and Wellness, Inc.
- Christine M Aupperle
- Timothy Aurand
- Aurora Life Sciences, LLC
- Ann Austin
All providers in Rockford, IL · Federally Qualified Health Center (FQHC) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.