| Pcc Community Wellness Center At Steinmetz | |
|
3030 N Mobile Ave Chicago IL 60634-4041 | |
| (708) 406-3041 | |
| Not Available |
| Full Name | Pcc Community Wellness Center At Steinmetz |
|---|---|
| Speciality | Clinic/Center |
| Location | 3030 N Mobile Ave, Chicago, Illinois |
| Authorized Official Name and Position | Robert J Urso (PRESIDENT AND 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 Community Wellness Center At Steinmetz 6201 Roosevelt Rd Berwyn IL 60402-1108 Ph: (708) 406-3056 | Pcc Community Wellness Center At Steinmetz 3030 N Mobile Ave Chicago IL 60634-4041 Ph: (708) 406-3041 |
| NPI Number | 1255701942 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Medicare PECOS PAC ID | 1557270139 |
|---|---|
| Medicare Enrollment ID | O20151030000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255701942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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