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Organization
ALIVIO MEDICAL CENTER INC
Active
Organization
ALIVIO MEDICAL CENTER INC
Active
Other names
Alivio Medical Center at Little Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER CORPUZ (CEO)
(312) 829-6304
Entity
Organization
Contact information
Practice address
3120 S KOSTNER AVE, CHICAGO, IL 60623-4842
(773) 535-4291
(312) 829-6842
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(773) 829-6673
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001618612
BCBS
IL
Enumeration date
08/12/2008
Last updated
09/20/2019
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