ALIVIO MEDICAL CENTER INC. NPI 1245992767

NPI Information

ALIVIO MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Chicago, IL. ALIVIO MEDICAL CENTER, INC. NPI is 1245992767. The provider is registered as an organization entity type.

The provider's business location address is:

966 W 21ST ST
CHICAGO, IL
ZIP 60608-511
Phone: (773) 254-1400

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

The CLIA number assigned to this NPI record is 14D0966119 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/12/2021 and was last updated on 12/3/2021.

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:

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