ALIVIO MEDICAL CENTER (NPI# 1629478359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629478359 |
| Entity Type | Organization |
| Organization Name | ALIVIO MEDICAL CENTER |
| Practice Address |
1450-1510 W. Cermak Road Chicago IL 60608 |
| Mailing Address |
966 West 21st Street Chicago IL 60608-4409 |
| Practice Telephone | 7732541400 |
| Mailing Telephone | 7732541400 |
| Mailing Fax Number | 3128296375 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | MRS. ESTHER CORPUZ (C.E.O) |
| Authorized Official Telephone | 3128296304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | IL | Allopathic & Osteopathic Physicians | |
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306070784 | Alivio Medical Center | Clinic/Center | 966 W 21st St, Chicago, IL 60608-4511 | 2009-05-13 |
| 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 |
1450-1510 W. CERMAK ROAD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861972655 | Alivio Medical Center, Inc. | Clinic/Center | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2018-08-21 |
| 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 |
| Find all providers in zip 60608 | ||||
| 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 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on ALIVIO MEDICAL CENTER.
| 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.