NPI | 1508287673 |
---|---|
Doing Business As | PCC COMMUNITY WELLNESS CENTER AT WEST SUBURBAN |
Doing Business As | PCC COMMUNITY WELLNESS CENTER AT LORETTO HOSPITAL |
Entity Type | Organization |
Authorized Contact | ROBERT J URSO President And CEO 708-383-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-12-17 |
Last Update Date | 2018-10-11 |