Organization
PCC COMMUNITY WELLNESS CENTER
Active
Organization
PCC COMMUNITY WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J URSO (PRESIDENT CEO)
(708) 383-9786
Entity
Organization
Contact information
Practice address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-1378
Mailing address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 383-0113
(708) 383-1378
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
08/22/2020
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