Organization
PCC COMMUNITY WELLNESS CENTER
Active
Other names
PCC Melrose Park Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J URSO (PRESIDENT AND CEO)
(708) 383-9786
Entity
Organization
Contact information
Practice address
1111 SUPERIOR ST, SUITE 207, MELROSE PARK, IL 60160-4138
(708) 406-3040
(708) 406-3059
Mailing address
1111 SUPERIOR ST, SUITE 207, MELROSE PARK, IL 60160-4138
(708) 406-3040
(708) 406-3059
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
011
IL
Other
Enumeration date
03/22/2007
Last updated
07/21/2022
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