| Pcc Collaborative Bridges Health Center | |
|
4221 W Lake St Chicago IL 60624-1723 | |
| (708) 383-0113 | |
| Not Available |
| Full Name | Pcc Collaborative Bridges Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4221 W Lake St, Chicago, Illinois |
| Authorized Official Name and Position | Alyssa N Sianghio (PRESIDENT, CEO) |
| Authorized Official Contact | 7083839786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcc Collaborative Bridges Health Center 14 Lake St Oak Park IL 60302-2606 Ph: (708) 383-0113 | Pcc Collaborative Bridges Health Center 4221 W Lake St Chicago IL 60624-1723 Ph: (708) 383-0113 |
| NPI Number | 1679443865 |
|---|---|
| Provider Enumeration Date | 11/11/2025 |
| Last Update Date | 06/02/2026 |
| Certification Date | 06/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679443865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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