| NPI | 1073536991 |
|---|---|
| Doing Business As | PCC COMMUNITY WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT J URSO President & CEO 708-383-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: IL 001) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-07-21 |