340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CH05744A PCC COMMUNITY WELLNESS CENTER (Active)
Print
Main Details
Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC Dental and Specialty Care Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008889
340B ID
CH05744A
Grant Number
H80CS00276
Additional Details
Current Program Status
Active
Registration Date
7/1/1997
Participating Start Date
7/1/1997
Participating Approval Date
7/1/1997
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
5425 W Lake St
Chicago, IL 60644-2342
Billing Address
PCC Community Wellness Center
14 Lake Street
Oak Park, IL 60302
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
4/3/12 - Changed main address from 335 N. Mason.
04/03/2012
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session