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CH05744B PCC COMMUNITY WELLNESS CENTER (Active)
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Main Details
Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC SALUD FAMILY HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004210
340B ID
CH05744B
Grant Number
H80CS00276
Additional Details
Current Program Status
Active
Registration Date
8/29/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/30/2005
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
PCC Community Wellness Center
Alyssa Sianghio, Chief Executive Officer
(708) 383-1113
Primary Contact
PCC Community Wellness Center
Sonia Taylor, Senior Director, Finance
(708) 262-0038
Addresses
Street Address
5359 W Fullerton Ave
Chicago, IL 60639-1450
Billing Address
PCC COMMUNITY WELLNESS CENTER
14 WEST LAKE STREET
OAK PARK, IL 60302
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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