1. Home
  2. Directory
  3. Illinois
  4. Berwyn
  5. Clinic Center
  6. NPI Profile

SOUTH FAMILY HEALTH CENTER
NPI 1174549786
Clinic/Center - Federally Qualified Health Center (FQHC) in Berwyn, IL

Active since July 15, 2006CLIA 14D1052566 · Microscopy
6201 ROOSEVELT RD, BERWYN, IL 60402(708) 386-0845(708) 386-8472 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH FAMILY HEALTH CENTER (NPI 1174549786) is a healthcare organization registered as a federally qualified health center (fqhc) in Berwyn, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through January 7, 2027 and lists Robert J Urso, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1174549786
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePCC COMMUNITY WELLNESS CENTER
Location Address6201 ROOSEVELT RDBerwyn, IL 60402-1108
Mailing Address6201 Roosevelt RdBerwyn, IL 60402-1108 · (708) 386-0845 · Fax (708) 386-8472
Phone(708) 386-0845
Fax(708) 386-8472
Organization SubpartYes
Authorized OfficialRobert J UrsoPresident & Ceo · (708) 383-9786
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1174549786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in IL · 005
6201 ROOSEVELT RD, Berwyn, IL 60402
Open in Google Maps ↗

Other Names 1

Doing Business AsSouth Family Health Center

Other Identifiers 1

Other141031IL · Medicare Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D1052566

P C C South Family Health Center · Berwyn, IL
Active · expires Jan 7, 2027
CLIA Number14D1052566
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 8, 2025
Certificate Expiration DateJanuary 7, 2027
Laboratory DirectorRebecca De Hoek MD
Laboratory Phone(708) 386-0845
Laboratory LocationP C C South Family Health Center6201 W Roosevelt Rd, Berwyn, IL 60402
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAMARIS VELAZQUEZ LCSW
Social Worker (Clinical)
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
MARY SOMMERS CNM
Midwife
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
LESLEY KENNEDY
Doula
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
CHANDRA A MATTESON NP-C
Nurse Practitioner (Family)
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
CANDICE SHERLOCK RDH
Dental Hygienist
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
ELIZABETH ANNE DOWELL MD
Family Medicine
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
MEGAN K DAWSON APN
Advanced Practice Midwife
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845
DR. AMUDHA PORCHEZHIAN MD
Family Medicine
6201 ROOSEVELT RD
BERWYN, IL 60402
Cook County (708) 386-0845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pcc Community Wellness Center's NPI number?

The NPI number for Pcc Community Wellness Center is 1174549786. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as South Family Health Center.

Where is Pcc Community Wellness Center located?

Pcc Community Wellness Center is located at 6201 Roosevelt Rd, Berwyn, IL 60402. The listed phone number is (708) 386-0845.

What is Pcc Community Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Pcc Community Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1052566) is associated with this NPI, valid through January 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pcc Community Wellness Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Pcc Community Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pcc Community Wellness Center was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.