Organization · Type 2 NPI

PCC Community Wellness Center

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1487670097 Active

Practice location

5359 E Fullerton Ave
Chicago, IL 60639-1450

Call (773) 836-2785 Map

Fax (773) 836-7381

Mailing address

5359 W Fullerton Ave
Chicago, IL 60639-1450

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X003 (IL)

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

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About NPI 1487670097

PCC Community Wellness Center's National Provider Identifier is 1487670097, issued on Jul 15, 2006. 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 Jul 21, 2022.