| Pcc Walk-in Wellness Center At West Suburban Medical Center | |
|
3 Erie Ct Suite 1300 Oak Park IL 60302-2519 | |
| (708) 383-9786 | |
| Not Available |
| Full Name | Pcc Walk-in Wellness Center At West Suburban Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3 Erie Ct, Oak Park, Illinois |
| Authorized Official Name and Position | Robert J Urso (PRESIDENT AND CEO) |
| Authorized Official Contact | 7083839786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pcc Walk-in Wellness Center At West Suburban Medical Center 3 Erie Ct Suite 1300 Oak Park IL 60302-2519 Ph: (708) 383-9786 | Pcc Walk-in Wellness Center At West Suburban Medical Center 3 Erie Ct Suite 1300 Oak Park IL 60302-2519 Ph: (708) 383-9786 |
| NPI Number | 1750621769 |
|---|---|
| Provider Enumeration Date | 02/28/2013 |
| Last Update Date | 02/28/2013 |
| Medicare PECOS PAC ID | 1557270139 |
|---|---|
| Medicare Enrollment ID | O20130820000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750621769 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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