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Contact Information

PCC COMMUNITY WELLNESS CENTER
5461 W LAKE ST
CHICAGO, IL60644
 Phone: 773-378-3347
 Fax: 773-378-4028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
Indicates primary specialty

NPI Profile & details for PCC COMMUNITY WELLNESS CENTER · (Female)

NPI # 1760272645
Status Active
Credentials
Entity Individual
Enumeration date 05/12/2025
Last updated 06/11/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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