institution
Pcc Community Wellness Center
Federally Qualified Health Center (FQHC) in Oak Park, Illinois
NPI 1073536991

Pcc Community Wellness Center is a Federally Qualified Health Center (FQHC) based in Oak Park, IL and is specialized in Federally Qualified Health Center (FQHC). Pcc Community Wellness Center practices in Oak Park, IL. The NPI Number for Pcc Community Wellness Center is 1073536991 and holds a License No. 001 (Illinois).

The current practice location address for Pcc Community Wellness Center is 14 W Lake St, Oak Park, IL and can be reached out via phone at 708-383-0113 and via fax at 708-383-9911. You can also correspond with Pcc Community Wellness Center through the mailing address at 14 W LAKE ST, OAK PARK, IL - 60302-2606 (mailing address contact number: 708-383-0113).

Location: 14 W Lake St, Oak Park, IL, 60302-2606
institution
Provider Profile Details
NPI Number
1073536991
Provider Name
Pcc Community Wellness Center
Credential
Provider Entity Type
Organization
Address
14 W Lake St, Oak Park, IL, 60302-2606
Phone Number
708-383-0113
Fax Number
708-383-9911
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141888 01 MEDICARE PART A PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
14 W Lake St
City
State
Zip
60302-2606
Phone Number
708-383-0113
Fax Number
708-383-9911
person
Provider Business Mailing Address Details
Address
14 W Lake St
City
State
Zip
60302-2606
Phone Number
708-383-0113
Fax Number
708-383-9911
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
001 (Illinois)
Definition
Definition to come...
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