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CH05744U PCC COMMUNITY WELLNESS CENTER (Active)
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Main Details
Name
PCC COMMUNITY WELLNESS CENTER
Subdivision Name
PCC Dr. Burdick Family Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-034152
340B ID
CH05744U
Grant Number
H80CS00276
Additional Details
Current Program Status
Active
Registration Date
10/12/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/2/2022
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
1 Erie Ct. STE 6160
Oak Park, IL 60302-2510
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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