Organization · Type 2 NPI

PCC Community Wellness Center

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1114498540 Active

Practice location

115 N Parkside Ave Fl 1
Chicago, IL 60644-3040

Call (708) 406-3056 Map

Fax (708) 406-3051

Mailing address

6201 Roosevelt Rd
Berwyn, IL 60402-1108

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1114498540

PCC Community Wellness Center's National Provider Identifier is 1114498540, issued on Dec 11, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chicago, IL. The record was last updated on Dec 11, 2018.