ALIVIO MEDICAL CENTER INC. NPI 1548598915

NPI Information

NPI: 1548598915
Provider Name: ALIVIO MEDICAL CENTER, INC.

Doing Business As: ALIVIO MEDICAL CENTER AT JOSE CLEMENTE OROZCO COMMUNITY ACADEMY

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
1940 W. 18TH STREET
1ST FLOOR
CHICAGO, IL
ZIP 60608
Phone: (773) 254-1400
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ALIVIO MEDICAL CENTER, INC. is a student health clinic center in Chicago, IL. ALIVIO MEDICAL CENTER, INC. NPI is 1548598915. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alivio Medical Center At Jose Clemente Orozco Community Academy.

The provider's business location address is:

1940 W. 18TH STREET
1ST FLOOR
CHICAGO, IL
ZIP 60608-903
Phone: (773) 254-1400
Fax: (312) 829-6375

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 11/24/2009 and was last updated on 8/18/2014.

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	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health		ILLINOIS	No
2	261QS1000X	Clinic/Center	Student Health		ILLINOIS	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	141854	MEDICARE PIN	ILLINOIS
2	1618612	OTHER	ILLINOIS	BCBS
3	141077	MEDICARE PIN	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: 11/14/2023

NPI Synchronization or Removal

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