ALIVIO MEDICAL CENTER INC (NPI# 1255646857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255646857 |
| Entity Type | Organization |
| Organization Name | ALIVIO MEDICAL CENTER INC |
| Other Organization Name | ALIVIO MEDICAL CENTER AT BERWYN |
| Practice Address |
6447 Cermak Rd Berwyn IL 60402-2311 |
| Mailing Address |
966 W. 21st Street Chicago IL 60608-4511 |
| Practice Telephone | 3128296870 |
| Practice Fax Number | 3128296375 |
| Mailing Telephone | 7732541400 |
| Mailing Fax Number | 3128296375 |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-08-18 |
| Authorized Official Name | MRS. ESTHER CORPUZ (CEO) |
| Authorized Official Telephone | 3128296304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036113015 3 | 05 | |
| IL | MEDICARE TPAN NUMBER | 141077 | 01 |
| IL | MEDICARE TPAN NUMBER | 141854 | 01 |
| IL | MEDICARE TPAN | 920890 | 01 |
| BCBS | 0001618612 | 01 |
| Other Name | Type Code |
|---|---|
| Alivio Medical Center at Berwyn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770739591 | Alivio Medical Center Inc | Clinic/Center | 3120 S Kostner Ave, Chicago, IL 60623-4842 | 2008-08-12 |
| 1437464039 | Alivio Medical Center Inc | Clinic/Center | 1940 W. 18th Street, Chicago, IL 60608-1903 | 2010-08-09 |
| Street Address |
6447 CERMAK RD |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124053269 | Jennifer Vargas | Family Medicine | 6447 Cermak Rd, Berwyn, IL 60402 | 2006-07-11 |
| 1740808633 | Brigette Chelchowski | Physician Assistant | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2020-07-08 |
| 1275155764 | Ariana Sandoval | Nurse Practitioner | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2020-05-07 |
| 1497388672 | Marissa Munoz | Counselor | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2020-02-17 |
| 1376037713 | Faylene Salas | Nurse Practitioner | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2018-06-19 |
| 1194244236 | Karina Cisneros | Counselor | 6447 Cermak Rd, Berwyn, IL 60402 | 2017-09-10 |
| 1215475538 | Monica Guzman | Counselor | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2017-02-07 |
| 1154717916 | Feng Wen | Physician Assistant | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2015-04-08 |
| 1609264001 | Alivio Medical Center, Inc. | Internal Medicine | 6447 Cermak Rd, Suite 100, Berwyn, IL 60402-2311 | 2015-01-07 |
| 1972928166 | Bienestar Pharmacy II Inc | Pharmacy | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2014-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184233223 | Pillars Community Health | Clinic/Center | 6918 W Windsor Ave, Berwyn, IL 60402-3334 | 2020-07-24 |
| 1174549786 | Pcc Community Wellness Center | Clinic/Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 | 2006-07-15 |
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| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.