Organization
PCC COMMUNITY WELLNESS CENTER
Active
Organization
PCC COMMUNITY WELLNESS CENTER
Active
Other names
PCC West Town Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J URSO (PRESIDENT - CHIEF EXECUTIVE OFFICER)
(708) 383-9786
Entity
Organization
Contact information
Practice address
2434 W DIVISION ST, CHICAGO, IL 60622-2942
(773) 292-8300
(708) 292-2601
Mailing address
2434 W DIVISION ST, CHICAGO, IL 60622-2942
(773) 292-8300
(708) 292-2601
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
06/26/2007
Last updated
03/05/2021
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