Organization
ALIVIO MEDICAL CENTER
Active
Organization
ALIVIO MEDICAL CENTER
Active
Other names
Alivio Medical Center at Benito Juarez Community Academy
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT PATEL (CFO)
(312) 312-2719
Entity
Organization
Contact information
Practice address
1450-1510 W. CERMAK ROAD, CHICAGO, IL 60608
(773) 254-1400
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(312) 829-6842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
208D00000X
General Practice Physician
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
—
Other
Enumeration date
08/29/2014
Last updated
07/10/2026
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