ALIVIO MEDICAL CENTER INC (NPI# 1770739591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770739591 |
| Entity Type | Organization |
| Organization Name | ALIVIO MEDICAL CENTER INC |
| Other Organization Name | ALIVIO MEDICAL CENTER AT LITTLE VILLAGE |
| Practice Address |
3120 S Kostner Ave Chicago IL 60623-4842 |
| Mailing Address |
966 W 21st St Chicago IL 60608-4511 |
| Practice Telephone | 7735354291 |
| Practice Fax Number | 3128296842 |
| Mailing Telephone | 7732541400 |
| Mailing Fax Number | 7738296673 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2019-09-20 |
| 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 |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 0001618612 | 01 |
| Other Name | Type Code |
|---|---|
| Alivio Medical Center at Little Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437464039 | Alivio Medical Center Inc | Clinic/Center | 1940 W. 18th Street, Chicago, IL 60608-1903 | 2010-08-09 |
| 1255646857 | Alivio Medical Center Inc | Clinic/Center | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2010-08-09 |
| Street Address |
3120 S KOSTNER AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-4842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427369693 | Alivio Medical Center, Inc | Clinic/Center | 3120 S Kostner Ave, Chicago, IL 60623-4842 | 2010-06-23 |
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| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
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| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1043545007 | Circle Family Healthcare Network | Clinic/Center | 231 N Pine Ave, Chicago, IL 60644-2333 | 2009-10-08 |
| 1174765945 | Mclaren Oakland | Clinic/Center | 8172 Reliable Pkwy, Chicago, IL 60686-0001 | 2009-03-25 |
| 1740408186 | Swedish Covenant Hospital | Clinic/Center | 3436 W Wilson Ave, Chicago, IL 60625-5318 | 2007-04-23 |
| 1194845495 | Cook County | Clinic/Center | 4859 S Wabash Ave, Chicago, IL 60615-1008 | 2007-03-30 |
| 1831219450 | Cook County | Clinic/Center | 231 N Pine Ave # 133b, Chicago, IL 60644-2333 | 2007-03-29 |
| 1972623528 | Cook County | Clinic/Center | 4934 S Wabash Ave Rm 165, Chicago, IL 60615-2136 | 2007-03-29 |
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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.