Organization · Type 2 NPI
PCC Community Wellness Center
Federally Qualified Health Center (FQHC) · Chicago, IL
NPI number
1679443865
Active
Practice location
4221 W Lake St
Chicago, IL 60624-1723
Mailing address
14 Lake St
Oak Park, IL 60302-2606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1679443865
PCC Community Wellness Center's National Provider Identifier is 1679443865, issued on Nov 11, 2025. 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 Jun 2, 2026.