ALIVIO MEDICAL CENTER INC NPI 1770739591

NPI Information

NPI: 1770739591
Provider Name: ALIVIO MEDICAL CENTER INC

Doing Business As: ALIVIO MEDICAL CENTER AT LITTLE VILLAGE

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

Specialization: Student Health

CLIA Number: 14D1071975

Address:
3120 S KOSTNER AVE
CHICAGO, IL
ZIP 60623
Phone: (773) 535-4291
Get Directions

ALIVIO MEDICAL CENTER INC is a student health clinic center in Chicago, IL. ALIVIO MEDICAL CENTER INC NPI is 1770739591. The provider is registered as an organization entity type.
The provider Is Doing Business As Alivio Medical Center At Little Village.

The provider's business location address is:

3120 S KOSTNER AVE
CHICAGO, IL
ZIP 60623-842
Phone: (773) 535-4291
Fax: (312) 829-6842

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 14D1071975 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/12/2008 and was last updated on 9/20/2019.

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	261QM1300X	Clinic/Center	Multi-Specialty			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	0001618612	OTHER	ILLINOIS	BCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »