| NPI | 1427635358 |
|---|---|
| Doing Business As | PCC SPORTS MEDICINE AND PRENATAL WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT J URSO President And CEO 708-524-7686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-03-26 |