MEDICARE: PCC COMMUNITY WELLNESS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1417846841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PCC COMMUNITY WELLNESS CENTER

Provider Business Mailing Address
First Line	:	14 LAKE ST
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-2606
Country	:	US
Telephone Number	:	708-406-3927
Fax Number	:	708-406-3919

Provider Business Practice Location Address
First Line	:	5461 W LAKE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60644
Country	:	US
Telephone Number	:	773-378-3347
Fax Number	:	773-378-4028

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	ALYSSA N SIANGHIO
Credential	:
Telephone Number	:	708-524-7686

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	01/12/2026

Similar Medicare Providers

1750248753 — CYNTHIA AZUCENA MENDOZA LIZARRAGA
Practice Location Address:

4715 W ADAMS ST
CHICAGO, IL
60644-4635

Practice Phone: 847-312-1409
Practice Fax:

1225806094 — SHAMEL COLVARD
Practice Location Address:

4847 W WASHINGTON BLVD
CHICAGO, IL
60644-3628

Practice Phone: 312-504-0144
Practice Fax:

1679578041 — GENERATIONS AT COLUMBUS PARK,INC
Practice Location Address:

901 S AUSTIN BLVD
CHICAGO, IL
60644-5304

Practice Phone: 773-287-5959
Practice Fax: 773-287-7909

1326031998 — CIRCLE FAMILY HEALTHCARE NETWORK INC
Practice Location Address:

115 N PARKSIDE AVE , CIRCLE FAMILY HEALTHCARE NETWORK INC
CHICAGO, IL
60644-3040

Practice Phone: 773-379-1000
Practice Fax: 773-379-1342

1730173071 — ROBERT T STANNARD MD
Practice Location Address:

115 N PARKSIDE AVE , CIRCLE FAMILY HEALTHCARE NETWORK
CHICAGO, IL
60644-3040

Practice Phone: 773-921-9669
Practice Fax: 773-921-2609

1801883608 — TVS RX INC
Practice Location Address:

5470 W MADISON ST
CHICAGO, IL
60644-4031

Practice Phone: 773-379-7773
Practice Fax: 773-379-1020

Directions to “PCC COMMUNITY WELLNESS CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.