Organization
PCC COMMUNITY WELLNESS CENTER
Active
Parent organization
PCC COMMUNITY WELLNESS CENTER
Other names
PCC Clinic at Thrive
Organization subpart
Yes
Provider details
NPI number
Legal business name
PCC COMMUNITY WELLNESS CENTER
Authorized official
MR. ROBERT J URSO (PRESIDENT AND CEO)
(708) 383-9786
Entity
Organization
Contact information
Practice address
120 S MARION ST, OAK PARK, IL 60302-2809
(708) 383-7500
Mailing address
1 ERIE CT, SUITE 4125, OAK PARK, IL 60302-2566
(708) 406-3912
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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