Organization
ALIVIO MEDICAL CENTER INC
Active
Other names
Alivio Medical Center at Little Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER CORPUZ (CEO)
(312) 829-6304
Entity
Organization
Contact information
Practice address
3120 S KOSTNER AVE, CHICAGO, IL 60623-4842
(773) 535-4291
(312) 829-6842
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(773) 829-6673
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001618612
BCBS
IL
Enumeration date
08/12/2008
Last updated
09/20/2019
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