NPI | 1750621769 |
---|---|
Doing Business As | PCC WALK-IN WELLNESS CENTER AT WEST SUBURBAN MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT J URSO President And CEO 708-383-9786 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-02-28 |
Last Update Date | 2013-02-28 |