NPI | 1558387167 |
---|---|
Doing Business As | PCC DR. TONG HEALTH 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 004) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2022-07-21 |