Pcc Dr. Tong Health Center

LBN: Pcc Community Wellness Center
Pcc Dr. Tong Health Center is an health care organization with primary practice located at 1 Erie Court Ste 6040, Oak Park IL 60302-2510. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Pcc Community Wellness Center can be contacted via phone (708) 386-1301, or through Urso, Robert J via phone (708) 383-9786.

Contact Information

Primary practice address
1 Erie Court Ste 6040 Oak Park IL 60302-2510
Phone: (708) 386-1301
Fax: (708) 386-3053
Website:
Map and Directions
Authorized official contact:
Name: Urso, Robert J
Phone: (708) 383-9786

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 004 Illinois

Profile Details

NPI number 1558387167
LBN Legal business name Pcc Community Wellness Center
DBA Doing business as Pcc Dr. Tong Health Center
Authorized official Urso, Robert J
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 15th, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1558387167 NPPES
Other 141034 MEDICARE PART A PROVIDER NUMBER

Popular Providers