Organization
ALIVIO MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT PATEL (CFO)
(312) 312-2719
Entity
Organization
Contact information
Practice address
2355 S. WESTERN AVE., CHICAGO, IL 60608-3837
(773) 254-1400
(312) 829-6673
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(773) 650-1218
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1138738
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141854
TPAN NUMBER
IL
01
—
1618612
BCBS
IL
Enumeration date
08/29/2006
Last updated
04/23/2026
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