Organization · Type 2 NPI

PCC Community Wellness Center

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1164628012 Active

Practice location

2434 W Division St
Chicago, IL 60622-2942

Fax (708) 292-2601

Specialties and licenses

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

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

8 other providers at this address

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About NPI 1164628012

PCC Community Wellness Center's National Provider Identifier is 1164628012, issued on Jun 26, 2007. 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 Mar 5, 2021.