OrganizationActive
Pcc Community Wellness Center
NPI 1720104573 · Federally Qualified Health Center (FQHC) · Melrose Park, IL
Provider details
- NPI number
- 1720104573
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Urso, President and Ceo(708) 383-9786
- License
- 011 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1111 Superior St
Suite 207
Melrose Park, IL 60160-4138
Phone: (708) 406-3040
Fax: (708) 406-3059
Street-level locationGet directions
Mailing address
1111 Superior St
Melrose Park, IL 60160-4138
Other names (DBA / former)
- Doing business as
- Pcc Melrose Park Family Health Center
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.