PCC COMMUNITY WELLNESS CENTER NPI 1114498540

NPI Information

  • NPI: 1114498540
  • Provider Name: PCC COMMUNITY WELLNESS CENTER
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 115 N PARKSIDE AVE FL 1
    CHICAGO, IL
    ZIP 60644
  • Phone: (708) 406-3056

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NPI Details

PCC COMMUNITY WELLNESS CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. PCC COMMUNITY WELLNESS CENTER NPI is 1114498540. The provider is registered as an organization entity type.

The provider's business location address is:

115 N PARKSIDE AVE FL 1
CHICAGO, IL
ZIP 60644-040
Phone: (708) 406-3056
Fax: (708) 406-3051

The provider's authorized official is Kathleen A Hand .
The authorized official title is Financial Analyst and has the following contact phone number (708) 406-3056.

The enumeration date for this NPI number is 12/11/2018 and was last updated on 12/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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