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).
| 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 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TPAN NUMBER | 141854 | 01 |
| IL | BCBS | 1618612 | 01 |
| 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 |
| 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 |
2355 S. WESTERN AVE. |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-3837 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 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 |
| Find all providers in CHICAGO | ||||
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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.