| Pcc Community Wellness Center | |
|
5461 W Lake St Chicago IL 60644 | |
| (773) 378-3347 | |
| Not Available |
| Full Name | Pcc Community Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5461 W Lake St, Chicago, Illinois |
| Authorized Official Name and Position | Alyssa Sianghio (PRESIDENT AND CEO) |
| Authorized Official Contact | 7085247686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcc Community Wellness Center 14 Lake St Oak Park IL 60302-2606 Ph: (708) 406-3927 | Pcc Community Wellness Center 5461 W Lake St Chicago IL 60644 Ph: (773) 378-3347 |
| NPI Number | 1134954506 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134954506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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