ALIVIO MEDICAL CENTER INC. NPI 1083860845

NPI Information

NPI: 1083860845
Provider Name: ALIVIO MEDICAL CENTER, INC.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
ALIVIO MEDICAL CTR
75 REMITTANCE DR. SUITE 6577
CHICAGO, IL
ZIP 60675
Phone: (312) 829-6327
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ALIVIO MEDICAL CENTER, INC. is a multi-specialty clinic center in Chicago, IL. ALIVIO MEDICAL CENTER, INC. NPI is 1083860845. The provider is registered as an organization entity type.

The provider's business location address is:

ALIVIO MEDICAL CTR
75 REMITTANCE DR. SUITE 6577
CHICAGO, IL
ZIP 60675-577
Phone: (312) 829-6327
Fax: (312) 829-6843

The provider's authorized official is Esther Corpuz .
The authorized official title is Ceo and has the following contact phone number (312) 829-6304.

The enumeration date for this NPI number is 8/13/2008 and was last updated on 8/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251300000X	Local Education Agency (LEA)		No
2	261QD0000X	Clinic/Center	Dental	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	No
4	261QM1300X	Clinic/Center	Multi-Specialty	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	920890	OTHER	ILLINOIS	MEDICARE PART B TPAN
2	920890	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
3	036118630 1	MEDICAID	ILLINOIS
4	141077	OTHER	ILLINOIS	TPAN
5	036100871 3	MEDICAID	ILLINOIS
6	141854	MEDICARE OSCAR/CERTIFICATION	ILLINOIS
7	0001618612	OTHER	ILLINOIS	BCBS
8	036113015 3	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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