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PCC Community Wellness Center

Organization Active NPI Federally Qualified Health Center (FQHC) · Oak Park, IL

NPI 1508287673 · NPPES record last updated Jan 9, 2026

Key facts

NPI
1508287673
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
PCC COMMUNITY WELLNESS CENTER
Practice address
1 Erie CT Ste 7120
Oak Park, IL 60302-2510
Phone
(773) 537-0020
Fax
(773) 537-0029
NPI assigned
Dec 17, 2013
Organization subpart
No

Authorized official

Name
Alyssa N Sianghio
Title
President and Ceo
Phone
(708) 383-9786

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Federally qualified health center certification: CCN 781824

Legal name
PCC COMMUNITY WELLNESS CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 23, 2014
Last certification
Jul 23, 2014
Ownership / control type
For profit – corporation
Organization structure
Corporation · Non-profit
Enrollment address
1 Erie CT
Ste 7120
Oak Park, IL 60302-2510

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sonia Taylor
Individual 		W-2 Managing Employee
Senior Director of Finance		 Jan 28, 2024
Alyssa Sianghio
Individual 		Corporate Officer
President and Ceo		 Apr 10, 2024 100%
W-2 Managing Employee Apr 10, 2024 100%
John McDonnell
Individual 		Corporate Director
Board Member		 Aug 26, 2011
Patricia Ford
Individual 		Corporate Director
Board Member		 Aug 25, 2009
Richard Ducatenzeller
Individual 		Corporate Director
Board Member		 Jul 1, 2024
Christopher Barracks
Individual 		Corporate Director
Board Member		 Jan 1, 2024
Ron Austin
Individual 		Corporate Director
Board Chairperson		 Jun 8, 2001
Nilsa Campos
Individual 		Corporate Officer
Chief Operations Officer		 Sep 1, 2021 100%
W-2 Managing Employee Sep 1, 2021 100%
Velda Brunner
Individual 		Corporate Director
Board Member		 Nov 29, 2015
Hiren Patel
Individual 		Corporate Officer
Chief Financial Officer		 Sep 11, 2024 100%
W-2 Managing Employee Sep 11, 2024 100%
Janet Y Forbes
Individual 		Corporate Director
Board Member		 Oct 25, 2022
Wrenetha Julion
Individual 		Corporate Director
Board Member		 Jun 30, 2020
Sara Hogue
Individual 		Corporate Officer
Chief Quality Improvement Officer		 Nov 4, 2019 100%
W-2 Managing Employee Nov 4, 2019 100%
Melissa Kirk
Individual 		Corporate Director Aug 1, 2024
Paul Luning
Individual 		Corporate Officer
Chief Medical Officer		 Sep 17, 2007 100%
W-2 Managing Employee
Chief Medical Officer		 Sep 17, 2007 100%
Kenneth M Blair
Individual 		Corporate Director
Board Treasurer		 Jul 31, 1992

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
PCC Dr Tong Health Center
Oak Park, IL · CCN 141034		 Federally qualified health center Other (100%) Sep 15, 2004
PCC Walk-in Wellness Center at West Suburban Medical Center
Oak Park, IL · CCN 781802		 Federally qualified health center Other (100%) Sep 15, 2004

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20140905001576 IL Part a Provider - Federally Qualified Health Center (FQHC) 1557270139 Practice locations: Oak Park, IL

National Provider Directory

Tax ID family
PCC Community Wellness Ctr (21 organizations share this tax ID)

Locations

1 Erie Ct
Ste 7140
Oak Park, IL 60302
Phone (708) 763-1470

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

1 Erie CT Ste 7120
Oak Park, IL 60302-2510

Mailing address

14 Lake St
Oak Park, IL 60302-2606
Phone (708) 383-0113

Other names

  • PCC Community Wellness Center at Loretto Hospital Doing business as
  • PCC Community Wellness Center at West Suburban Doing business as

Other providers in Oak Park, IL

All providers in Oak Park, IL · Federally Qualified Health Center (FQHC) in Illinois

Sources for this page

Verify at the official NPI Registry.