ALIVIO MEDICAL CENTER, INC.


Address: 2355 S. Western Ave., Chicago, IL 60608-3837
Phone: 7732541400

ALIVIO MEDICAL CENTER, INC. (NPI# 1710096482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710096482
Entity Type Organization
Organization Name ALIVIO MEDICAL CENTER, INC.
Practice Address 2355 S. Western Ave.
Chicago
IL 60608-3837
Practice Telephone 7732541400
Practice Fax Number 3128296673
Mailing Telephone 7732541400
Mailing Fax Number 3128296673
Enumeration Date 2006-08-29
Last Update Date 2014-08-18
Authorized Official Name MRS. ESTHER CORPUZ (CEO)
Authorized Official Telephone 3128296304
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261Q00000X Clinic/Center IL Ambulatory Health Care Facilities
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
1138738 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL TPAN NUMBER 141854 01
IL BCBS 1618612 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548598915 Alivio Medical Center, Inc. Counselor 1940 W. 18th Street, 1st Floor, Chicago, IL 60608-1903 2009-11-24
1083860845 Alivio Medical Center, Inc. Local Education Agency (LEA) Alivio Medical Ctr, 75 Remittance Dr. Suite 6577, Chicago, IL 60675-6577 2008-08-13
1124274311 Alivio Medical Center, Inc. Family Medicine 4842 W Cermak Rd, Cicero, IL 60804-2531 2008-08-07
1073617387 Alivio Medical Center, Inc. Clinic/Center 966 W. 21st Street, Chicago, IL 60608-4511 2006-09-08
1821609306 Alivio Medical Center, Inc. Clinic/Center 966 W 21st St, Chicago, IL 60608-4511 2020-08-10
1861972655 Alivio Medical Center, Inc. Clinic/Center 1450-1510 W. Cermak Road, Chicago, IL 60608 2018-08-21
1609264001 Alivio Medical Center, Inc. Internal Medicine 6447 Cermak Rd, Suite 100, Berwyn, IL 60402-2311 2015-01-07

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ALIVIO MEDICAL CENTER, INC 966 W 21st St, Chicago, IL 60608-4511

Office Location

Street Address 2355 S. WESTERN AVE.
City CHICAGO
State IL
Zip Code 60608-3837

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699390047 Bethuna Shields Occupational Therapist 1401 South California Ave, Chicago, IL 60608 2020-06-11
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1205481058 Joshua Hartman Pharmacist 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 2019-08-08
1194386706 Mount Sinai Hospital, Chicago Internal Medicine Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 2019-06-25
1841754256 Julia Bates Occupational Therapist 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 2019-01-30
1194205781 Anais J Robles Contractor 1626 S Allport St, Chicago, IL 60608 2018-08-14
1114412970 Dmitri Zbarsky Internal Medicine 1500 South Fairfield Ave., F-914, Chicago, IL 60608 2018-06-25
1740773050 Alexia Ilian Derma Salazar Speech-Language Pathologist 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 2018-06-11
1912424730 Pareen Modi Pharmacist 2539 South Western Avenue, Chicago, IL 60608 2017-08-23
1952824302 Raquel Gonzalez Heredia Surgery 1500 South Fairfield Ave, Chicago, IL 60608 2017-07-18
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Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932724390 Friend Family Health Center, Inc Clinic/Center 7355 S Jeffery Blvd, Chicago, IL 60649-3121 2020-06-11
1871117937 Primecare Community Health Inc Clinic/Center 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 2020-06-04
1407482219 Access Community Health Network Clinic/Center 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 2020-03-13
1427600345 The Board of Trustees of The University of Illinois Clinic/Center 6835 S Normal Blvd, Chicago, IL 60621-2535 2019-07-11
1114498540 Pcc Community Wellness Center Clinic/Center 115 N Parkside Ave Fl 1, Chicago, IL 60644-3040 2018-12-11
1427523125 Howard Brown Health Center Clinic/Center 3533 W North Ave Ste 1, Chicago, IL 60647-7573 2018-10-09
1336626936 Heartland International Health Center Clinic/Center 1631 W Jonquil Ter, Chicago, IL 60626-1103 2018-07-26
1760975304 Inner-city Muslim Action Network Clinic/Center 2744 W 63rd St Bldg 2, Chicago, IL 60629-2343 2018-06-08
1417473851 Howard Brown Health Center Clinic/Center 2800 N Sheridan Rd Ste 211, Chicago, IL 60657-6161 2017-08-17
1487193181 Mile Square Englewood/cook Satellite Health and Wellness Center Clinic/Center 8150 S Bishop St, Chicago, IL 60620-3854 2017-02-15
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Competitor

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City CHICAGO
Zip Code 60608

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Dataset Information

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.

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