Organization
ALIVIO MEDICAL CENTER, INC.
Active
Other names
Alivio Medical Center at Jose Clemente Orozco Community Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER CORPUZ (CEO)
(312) 829-6304
Entity
Organization
Contact information
Practice address
1940 W. 18TH STREET, 1ST FLOOR, CHICAGO, IL 60608-1903
(773) 254-1400
(312) 829-6375
Mailing address
966 W. 21ST STREET, CHICAGO, IL 60608-4511
(773) 254-1400
(312) 829-6375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
IL
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618612
BCBS
IL
Enumeration date
11/24/2009
Last updated
08/18/2014
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