PCC COMMUNITY WELLNESS CENTER is a federally qualified health center (fqhc) clinic center in Chicago, IL. PCC COMMUNITY WELLNESS CENTER NPI is 1609892223. The provider is registered as an organization entity type.
The provider Is Doing Business As Austin Family Health Center.
The provider's business location address is:
5425 W LAKE ST
CHICAGO, IL
ZIP 60644-342
Phone: (773) 378-3347
Fax: (773) 378-4028
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 14D0916670 - 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 8/29/2012.