Organization
ALIVIO MEDICAL CENTER, INC.
Active
Organization
ALIVIO MEDICAL CENTER, INC.
Active
Other names
Alivio Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER CORPUZ (CEO)
(312) 829-6304
Entity
Organization
Contact information
Practice address
966 W. 21ST STREET, CHICAGO, IL 60608-4511
(773) 254-1400
(312) 829-6842
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(312) 829-6843
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001618612
BCBS
IL
01
—
920890
MEDICARE PART B GROUP NUMBER
IL
Enumeration date
09/08/2006
Last updated
04/22/2026
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