Organization
PCC COMMUNITY WELLNESS CENTER
Active
Parent organization
PCC COMMUNITY WELLNESS CENTER
Other names
PCC Austin Dental & Specialty Care Center, PCC Dental & Specialty Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PCC COMMUNITY WELLNESS CENTER
Authorized official
ALYSSA SIANGHIO (PRESIDENT AND CEO)
(708) 524-7686
Entity
Organization
Contact information
Practice address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(773) 413-1920
(773) 413-1922
Mailing address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(708) 406-3927
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
11/06/2025
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