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
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us