institution
Pcc Community Wellness Center
Federally Qualified Health Center (FQHC) in Berwyn, Illinois
NPI 1174549786

Pcc Community Wellness Center is a Federally Qualified Health Center (FQHC) based in Berwyn, IL and is specialized in Federally Qualified Health Center (FQHC). Pcc Community Wellness Center practices in Berwyn, IL. The NPI Number for Pcc Community Wellness Center is 1174549786 and holds a License No. 005 (Illinois).

The current practice location address for Pcc Community Wellness Center is 6201 Roosevelt Rd, Berwyn, IL and can be reached out via phone at 708-386-0845 and via fax at 708-386-8472.

Location: 6201 Roosevelt Rd, Berwyn, IL, 60402-1108
institution
Provider Profile Details
NPI Number
1174549786
Provider Name
Pcc Community Wellness Center
Credential
Provider Entity Type
Organization
Address
6201 Roosevelt Rd, Berwyn, IL, 60402-1108
Phone Number
708-386-0845
Fax Number
708-386-8472
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141031 01 IL MEDICARE PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
6201 Roosevelt Rd
City
State
Zip
60402-1108
Phone Number
708-386-0845
Fax Number
708-386-8472
person
Provider Business Mailing Address Details
Address
6201 Roosevelt Rd
City
State
Zip
60402-1108
Phone Number
708-386-0845
Fax Number
708-386-8472
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
005 (Illinois)
Definition
Definition to come...
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