Organization
PCC COMMUNITY WELLNESS CENTER
Active
Organization
PCC COMMUNITY WELLNESS CENTER
Active
Parent organization
PCC COMMUNITY WELLNESS CENTER
Other names
PCC Sports Medicine and Prenatal Wellness Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PCC COMMUNITY WELLNESS CENTER
Authorized official
ALYSSA N SIANGHIO (PRESIDENT AND CEO)
(708) 383-9786
Entity
Organization
Contact information
Practice address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(708) 434-4007
Mailing address
5425 W LAKE ST, CHICAGO, IL 60644-2342
(708) 434-4007
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
10/08/2025
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