Organization
PCC COMMUNITY WELLNESS CENTER
Active
Parent organization
PCC COMMUNITY WELLNESS CENTER
Other names
PCC Walk-In Wellness Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PCC COMMUNITY WELLNESS CENTER
Authorized official
ROBERT J URSO (PRESIDENT AND CEO)
(708) 383-9786
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8216
Mailing address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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