| Pcc Dr. Tong Health Center | |
|
1 Erie Court Ste 6040 Oak Park IL 60302-2510 | |
| (708) 386-1301 | |
| (708) 386-3053 |
| Full Name | Pcc Dr. Tong Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Erie Court, Oak Park, Illinois |
| Authorized Official Name and Position | Robert J Urso (PRESIDENT & CEO) |
| Authorized Official Contact | 7083839786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcc Dr. Tong Health Center 1 Erie Court Ste 6040 Oak Park IL 60302-2510 Ph: (708) 386-1301 | Pcc Dr. Tong Health Center 1 Erie Court Ste 6040 Oak Park IL 60302-2510 Ph: (708) 386-1301 |
| NPI Number | 1558387167 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 1557270139 |
|---|---|
| Medicare Enrollment ID | O20060811000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558387167 | NPI | - | NPPES |
| 141034 | Other | MEDICARE PART A PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 004 (Illinois) | Primary |
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