ALIVIO MEDICAL CENTER, INC. (NPI# 1124274311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124274311 |
| Entity Type | Organization |
| Organization Name | ALIVIO MEDICAL CENTER, INC. |
| Other Organization Name | ALIVIO MEDICAL CENTER CICERO |
| Practice Address |
4842 W Cermak Rd Cicero IL 60804-2531 |
| Mailing Address |
966 W 21st St Chicago IL 60608-4511 |
| Practice Telephone | 3128296304 |
| Practice Fax Number | 7086600349 |
| Mailing Telephone | 7732541400 |
| Mailing Fax Number | 3128296673 |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-08-19 |
| 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 | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 | |
| IL | BCBS | 0001618612 | 01 |
| IL | MEDICARE GROUP NUMBER | 920890 | 01 |
| Other Name | Type Code |
|---|---|
| Alivio Medical Center Cicero | Doing Business As Name - Organization |
| 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 |
| 1073617387 | Alivio Medical Center, Inc. | Clinic/Center | 966 W. 21st Street, Chicago, IL 60608-4511 | 2006-09-08 |
| 1710096482 | Alivio Medical Center, Inc. | Clinic/Center | 2355 S. Western Ave., Chicago, IL 60608-3837 | 2006-08-29 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ALIVIO MEDICAL CENTER, INC | 966 W 21st St, Chicago, IL 60608-4511 |
| Street Address |
4842 W CERMAK RD |
| City | CICERO |
| State | IL |
| Zip Code | 60804-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124438957 | Metrosmiles - Cicero Dental PC | Dentist | 4842 W Cermak Rd, Cicero, IL 60804-2531 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
| 1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
| 1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
| 1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
| 1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
| 1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
| Find all providers in zip 60804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174812853 | Ruchir Thakkar | Family Medicine | 5741 W Cermak Rd, Cicero, IL 60804-2129 | 2011-04-01 |
| 1427283290 | Sofia M Adawy | Family Medicine | 4747-51 West Cermak Road, Cicero, IL 60804-2508 | 2009-05-22 |
| 1093817082 | Harvey E Black | Family Medicine | 5813 East Seymour St, Cicero, NY 13039 | 2006-09-01 |
| 1639193998 | Ricardo C Dizon | Family Medicine | 1907 S Cicero Ave, Cicero, IL 60804-2546 | 2006-07-27 |
| 1457377830 | Eleni Kosmas | Family Medicine | 5586 Legionnaire Dr Ste 2, Cicero, NY 13039-3504 | 2006-07-15 |
| 1548299225 | Rosaura Licea | Family Medicine | 5712 W 35th St, Cicero, IL 60804-4222 | 2006-07-03 |
| 1750317061 | Amado Rueda | Family Medicine | 6001 W Cermak Rd, Cicero, IL 60804-2018 | 2006-06-26 |
| 1124066162 | Roselia Herrera | Family Medicine | 6039 W Cermak Rd, Cicero, IL 60804-2021 | 2006-06-03 |
| 1174502850 | Paolo S Pastore | Family Medicine | 8393 Elta Drive, Cicero, NY 13039 | 2006-01-11 |
| 1558348896 | Charles R Harris | Family Medicine | 509 N Peru St, Cicero, IN 46034-9499 | 2005-12-28 |
| Find all providers in CICERO | ||||
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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.