Alivio Medical Center

LBN: Alivio Medical Center, Inc.
Alivio Medical Center is an health care organization with primary practice located at 966 W. 21St Street , Chicago IL 60608-4511. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Alivio Medical Center, Inc. can be contacted via phone (773) 254-1400, or through Corpuz, Esther via phone (312) 829-6304.

Contact Information

Primary practice address
966 W. 21St Street Chicago IL 60608-4511
Phone: (773) 254-1400
Fax: (312) 829-6842
Website:
Map and Directions
Authorized official contact:
Name: Corpuz, Esther
Phone: (312) 829-6304

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1073617387
LBN Legal business name Alivio Medical Center, Inc.
DBA Doing business as Alivio Medical Center
Authorized official Corpuz, Esther
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2006
Last updated Sep 29th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073617387 NPPES
Illinois Other 0001618612 BCBS
Illinois Other 920890 BCBS

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