Graduated: 1983
NPI: 1679793913
Practice Locations (3)
PCC COMMUNITY WELLNESS CENTER
3030 N MOBILE AVE
CHICAGO, IL 606344041
7736225679
PCC COMMUNITY WELLNESS CENTER
5425 W LAKE ST
CHICAGO, IL 606442342
7734131920
PCC COMMUNITY WELLNESS CENTER
5461 W LAKE ST
CHICAGO, IL 606442342
7083830113220005
Source: CMS National Downloadable File, September 2026.