ALIVIO MEDICAL CENTER INC; NPI #1255646857

Contact Information

ALIVIO MEDICAL CENTER INC

6447 CERMAK RD
BERWYN, IL 60402-2311

Phone: 773-254-1400
Fax: 708-484-5413
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for ALIVIO MEDICAL CENTER INC

NPI Number 1255646857

LBN Legal business name ALIVIO MEDICAL CENTER INC

Authorized official ANKIT PATEL - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/09/2010

Last updated 04/23/2026 - About 1 months ago

Identifiers

IL	Medicaid	036113015 3
	Other	0001618612	BCBS
IL	Other	920890	MEDICARE TPAN
IL	Other	141077	MEDICARE TPAN NUMBER
IL	Other	141854	MEDICARE TPAN NUMBER

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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