institution
Pcc Community Wellness Center
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1487670097

Pcc Community Wellness Center is a Federally Qualified Health Center (FQHC) based in Chicago, IL and is specialized in Federally Qualified Health Center (FQHC). Pcc Community Wellness Center practices in Chicago, IL. The NPI Number for Pcc Community Wellness Center is 1487670097 and holds a License No. 003 (Illinois).

The current practice location address for Pcc Community Wellness Center is 5359 E Fullerton Ave, Chicago, IL and can be reached out via phone at 773-836-2785 and via fax at 773-836-7381.

Location: 5359 E Fullerton Ave, Chicago, IL, 60639-1450
institution
Provider Profile Details
NPI Number
1487670097
Provider Name
Pcc Community Wellness Center
Credential
Provider Entity Type
Organization
Address
5359 E Fullerton Ave, Chicago, IL, 60639-1450
Phone Number
773-836-2785
Fax Number
773-836-7381
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141032 01 MEDICARE PART A PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
5359 E Fullerton Ave
City
State
Zip
60639-1450
Phone Number
773-836-2785
Fax Number
773-836-7381
person
Provider Business Mailing Address Details
Address
5359 E Fullerton Ave
City
State
Zip
60639-1450
Phone Number
773-836-2785
Fax Number
773-836-7381
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
003 (Illinois)
Definition
Definition to come...
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