National Provider Identifier Database

ALIVIO MEDICAL CENTER
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

ALIVIO MEDICAL CENTER
966 W 21ST ST
CHICAGO, IL60608-4511
Phone: 773-254-1400
Fax: 312-829-6673
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for ALIVIO MEDICAL CENTER

NPI Number 1306070784
Legal business name
LBN
ALIVIO MEDICAL CENTER
Authorized official ESTHER CORPUZ - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/13/2009
Last updated 08/19/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 1138738

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ALIVIO MEDICAL CENTER

There are currently no reviews for ALIVIO MEDICAL CENTER


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