| NPI | 1164628012 |
|---|---|
| Doing Business As | PCC WEST TOWN FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT J URSO President Chief Executive Officer 708-383-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2021-03-05 |