institution
Pcc Community Wellness Center
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1609892223

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 1609892223 and holds a License No. 002 (Illinois).

The current practice location address for Pcc Community Wellness Center is 5425 W Lake St, Chicago, IL and can be reached out via phone at 773-378-3347 and via fax at 773-378-4028. You can also correspond with Pcc Community Wellness Center through the mailing address at 5425 W LAKE ST, CHICAGO, IL - 60644-2342 (mailing address contact number: 773-378-3347).

Location: 5425 W Lake St, Chicago, IL, 60644-2342
institution
Provider Profile Details
NPI Number
1609892223
Provider Name
Pcc Community Wellness Center
Credential
Provider Entity Type
Organization
Address
5425 W Lake St, Chicago, IL, 60644-2342
Phone Number
773-378-3347
Fax Number
773-378-4028
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
141889 01 MEDICARE PART A PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
5425 W Lake St
City
State
Zip
60644-2342
Phone Number
773-378-3347
Fax Number
773-378-4028
person
Provider Business Mailing Address Details
Address
5425 W Lake St
City
State
Zip
60644-2342
Phone Number
773-378-3347
Fax Number
773-378-4028
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
002 (Illinois)
Definition
Definition to come...
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