Organization
PCC COMMUNITY WELLNESS CENTER
Active
Other names
PCC Diabetes Prevention Program
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA N SIANGHIO (CEO/PRESIDENT)
(708) 524-7686
Entity
Organization
Contact information
Practice address
5461 W LAKE ST, CHICAGO, IL 60644
(773) 378-3347
(773) 378-4028
Mailing address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 406-3927
(708) 406-3919
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
06/11/2025
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