PCC COMMUNITY WELLNESS CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. PCC COMMUNITY WELLNESS CENTER NPI is 1487670097. The provider is registered as an organization entity type.
The provider Is Doing Business As Salud Family Health Center.
The provider's business location address is:
5359 E FULLERTON AVE
CHICAGO, IL
ZIP 60639-450
Phone: (773) 836-2785
Fax: (773) 836-7381
The provider's authorized official is Robert J Urso .
The authorized official title is President & Ceo and has the following contact phone number (708) 383-9786.
The CLIA number assigned to this NPI record is 14D0940458 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/26/2008.