| NPI | 1720104573 |
|---|---|
| Doing Business As | PCC MELROSE PARK FAMILY HEALTH CENTER |
| 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) (Licence: IL 011) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2022-07-21 |