PCC COMMUNITY WELLNESS CENTER – NPI #1356061899
Clinic/Center

PCC COMMUNITY WELLNESS CENTER is an AHC clinic located in OAK PARK, IL. NPPES has assigned the NPI number 1356061899 to PCC COMMUNITY WELLNESS CENTER on September 02, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PCC COMMUNITY WELLNESS CENTER below.

NPI Profile for
PCC COMMUNITY WELLNESS CENTER

NPI Number
1356061899
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PCC COMMUNITY WELLNESS CENTER
Primary location
3 ERIE CT STE 6160
OAK PARK, IL 60302-2519
Phone: (708) 533-1537 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TONI BUSH
PRESIDENT AND CEO
Phone: (708) 524-7686
Updated
Certification Date
Aug 31, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.