ALIVIO MEDICAL CENTER, INC.; NPI #1245992767

Contact Information

ALIVIO MEDICAL CENTER, INC.

966 W 21ST ST
CHICAGO, IL 60608-4511

Phone: 773-254-1400
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Health Educator	174H00000X
Multi-Specialty	261QM1300X	70	Clinic or Group Practice

Indicates primary specialty

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NPI Profile & details for ALIVIO MEDICAL CENTER, INC.

NPI Number	`1245992767`
LBN Legal business name	ALIVIO MEDICAL CENTER, INC.
Authorized official	ESTHER CORPUZ - (CHIEF EXECUTIVE OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/12/2021
Last updated	12/03/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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