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PCC COMMUNITY WELLNESS CENTER
NPI 1417846841
Health Educator in Chicago, IL

Active since July 01, 2025CLIA 14D2318296 · Microscopy
5461 W LAKE ST, CHICAGO, IL 60644(773) 378-3347(773) 378-4028 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Jul 1, 2025 (2 updates tracked since 2025).

About Pcc Community Wellness Center NPPES

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

PCC COMMUNITY WELLNESS CENTER (NPI 1417846841), doing business as Pcc Diabetes Self-management Education And Support, is a healthcare organization registered as a health educator in Chicago, Illinois and active in the NPI registry since July 2025. The organization holds a CLIA Microscopy certificate valid through February 6, 2027 and lists Alyssa N Sianghio, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1417846841
Entity TypeOrganization
Primary Taxonomy174H00000X
Legal Business NamePCC COMMUNITY WELLNESS CENTER
Location Address5461 W LAKE STChicago, IL 60644
Mailing Address14 Lake StOak Park, IL 60302-2606 · (708) 406-3927 · Fax (708) 406-3919
Phone(773) 378-3347
Fax(773) 378-4028
Organization SubpartNo
Authorized OfficialAlyssa N SianghioCeo/president · (708) 524-7686
Enumeration DateJuly 1, 2025
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1417846841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHealth EducatorOther Service Providers
Taxonomy Code174H00000X
Definition
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
5461 W LAKE ST, Chicago, IL 60644
Open in Google Maps ↗

Other Names 1

Doing Business AsPcc Diabetes Self-management Education And Support

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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) 14D2318296

Pcc Community Wellness Center · Chicago, IL
Active · expires Feb 6, 2027
CLIA Number14D2318296
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorPaul Luning
Laboratory Phone(773) 378-3347
Laboratory LocationPcc Community Wellness Center5461 W Lake St, Chicago, IL 60644
CLIA data matches this NPI record on: Address 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 6

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

MEGHAN MCDONOUGH
Nurse Practitioner (Psychiatric/Mental Health)
5461 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
DR. CHRISTEN DEANNA JOHNSON MD
Family Medicine
5461 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 295-3500
LAURA ALEJANDRA GONZALEZ MD
Family Medicine
5461 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 295-3500
YANESI PENA
Physician Assistant
5461 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
PCC COMMUNITY WELLNESS CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
5461 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347
PCC COMMUNITY WELLNESS CENTER
Health Educator
5461 W LAKE ST
CHICAGO, IL 60644
Cook County (773) 378-3347

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 1417846841. It was assigned to this organization in the NPPES registry on July 1, 2025. The provider is doing business as Pcc Diabetes Self-Management Education And Support.

Where is Pcc Community Wellness Center located?

Pcc Community Wellness Center is located at 5461 W Lake St, Chicago, IL 60644. The listed phone number is (773) 378-3347.

What is Pcc Community Wellness Center's specialty?

The primary specialty registered for this NPI is Health Educator with taxonomy code 174H00000X.

Does Pcc Community Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2318296) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pcc Community Wellness Center was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.