Organization
PCC COMMUNITY WELLNESS CENTER
Active
Other names
PCC Parkside Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN A HAND (FINANCIAL ANALYST)
(708) 406-3056
Entity
Organization
Contact information
Practice address
115 N PARKSIDE AVE FL 1, CHICAGO, IL 60644-3040
(708) 406-3056
(708) 406-3051
Mailing address
6201 ROOSEVELT RD, BERWYN, IL 60402-1108
(708) 406-3056
(708) 406-3051
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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