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
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
04/22/2026
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