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ALIVIO MEDICAL CENTER INC NPI 1912141698


NPI Information

NPI: 1912141698
Provider Name: ALIVIO MEDICAL CENTER, INC

Doing Business As: ALIVIO MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
966 W. 21ST STREET
CHICAGO, IL
ZIP 60608
Phone: (773) 254-1400
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ALIVIO MEDICAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Chicago, IL. ALIVIO MEDICAL CENTER, INC NPI is 1912141698. The provider is registered as an organization entity type.
The provider Is Doing Business As Alivio Medical Center.

The provider's business location address is:

966 W. 21ST STREET
CHICAGO, IL
ZIP 60608-511
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 4/27/2009 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)ILLINOISYes

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

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