Organization
ALIVIO MEDICAL CENTER INC
Active
Organization
ALIVIO MEDICAL CENTER INC
Active
Other names
Alivio Medical Center at Berwyn
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT PATEL (CFO)
(312) 312-2719
Entity
Organization
Contact information
Practice address
6447 CERMAK RD, BERWYN, IL 60402-2311
(773) 254-1400
(708) 484-5413
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(312) 829-6375
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001618612
BCBS
—
05
—
036113015 3
—
IL
01
—
141077
MEDICARE TPAN NUMBER
IL
01
—
141854
MEDICARE TPAN NUMBER
IL
01
—
920890
MEDICARE TPAN
IL
Enumeration date
08/09/2010
Last updated
04/23/2026
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