Organization
ALIVIO MEDICAL CENTER, INC
Active
Organization
ALIVIO MEDICAL CENTER, INC
Active
Other names
Alivio Medical Center @ Little Village/Lawndale High School
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT PATEL (CFO)
(312) 312-2719
Entity
Organization
Contact information
Practice address
3120 S KOSTNER AVE, CHICAGO, IL 60623-4842
(773) 254-1400
(773) 254-0692
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 214-1400
(312) 829-6842
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001618612
BCBS
IL
Enumeration date
06/23/2010
Last updated
04/23/2026
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