Pcc Community Wellness Center
NPI 1164628012 · Federally Qualified Health Center (FQHC) · Chicago, IL
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pcc Community Wellness Center is a Federally Qualified Health Center (FQHC) organization in Chicago, IL (NPI 1164628012).
Provider details
- NPI number
- 1164628012
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Urso, President - Chief Executive Officer(708) 383-9786
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pcc West Town Family Health Center
- Doing business as
- Pcc West Town Family Health Center
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2021-03-05
- Certified
- 2021-03-05
Frequently asked questions
- What is Pcc Community Wellness Center's NPI number?
- Pcc Community Wellness Center's National Provider Identifier (NPI) is 1164628012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pcc Community Wellness Center?
- Pcc Community Wellness Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Pcc Community Wellness Center located?
- Pcc Community Wellness Center's practice location on file with NPPES is 2434 W Division St, Chicago, IL 60622-2942.
- What is Pcc Community Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Pcc Community Wellness Center is (773) 292-8300.
- Does Pcc Community Wellness Center accept Medicare?
- Pcc Community Wellness Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pcc Community Wellness Center?
- The authorized official listed on Pcc Community Wellness Center's NPPES record is Robert Urso, President - Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pcc Community Wellness Center's NPI active?
- Yes — Pcc Community Wellness Center's NPI (1164628012) is active in the NPPES registry as of the last update on 2021-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.