| NPI | 1114498540 |
|---|---|
| Doing Business As | PCC PARKSIDE FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN A HAND Financial Analyst 708-406-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |