ALIVIO MEDICAL CENTER INC. NPI 1609264001

NPI Information

ALIVIO MEDICAL CENTER, INC. is an urgent care clinic center in Berwyn, IL. ALIVIO MEDICAL CENTER, INC. NPI is 1609264001. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alivio's Walk In Wellness Center At Berwyn.

The provider's business location address is:

6447 CERMAK RD
SUITE 100
BERWYN, IL
ZIP 60402-311
Phone: (773) 254-1400
Fax: (773) 650-1239

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 CLIA number assigned to this NPI record is 14D1083652 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/7/2015 and was last updated on 6/16/2018.

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:

Other Identifiers

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

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