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CH05744G PCC COMMUNITY WELLNESS CENTER (Active)
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Main Details
Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC Melrose Park Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-011987
340B ID
CH05744G
Grant Number
H80CS00276
Additional Details
Current Program Status
Active
Registration Date
6/5/2008
Participating Start Date
7/1/2008
Participating Approval Date
6/6/2008
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
1111 Superior St STE 101
Melrose Park, IL 60160-4100
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
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4/3/12 - Changed sub name from PCC NORTH AVENUE FAMILY HEALTH CENTER and main address from 675 West North Ave.
04/03/2012
April 2025
April 2025
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