Organization · Type 2 NPI

PCC Community Wellness Center

Federally Qualified Health Center (FQHC) · Chicago, IL

NPI number 1609892223 Active

Practice location

5461 W Lake St
Chicago, IL 60644-2342

Call (773) 378-3347 Map

Fax (773) 378-4028

Mailing address

14 Lake St
Oak Park, IL 60302-2606

Other practice locations

5425 W Lake St, Chicago, IL 60644-2342 · (708) 406-3927

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	002 (IL)

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

9 other providers at this address

Other federally qualified health center (fqhc) providers in Chicago

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NPI record

NPI: 1609892223
Entity type: Organization (Type 2)
Issued: Jul 15, 2006
Last updated: Jan 10, 2025
Status: Active
Subpart: Yes of PCC Community Wellness Center

Other names

<unavail>
PCC Austin Family Health Center · doing business as
PCC Austin Family Health Center · doing business as

Authorized official

Alyssa Sianghio
President CEO
(708) 524-7686

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1609892223

PCC Community Wellness Center's National Provider Identifier is 1609892223, 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 Jan 10, 2025.