Organization
ALIVIO MEDICAL CENTER, INC.
Active
Other names
Alivio Medical Center Mobile Unit, Alivio Medical Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA RENEE WRIGHT (CREDENTIALING SPECIALIST)
(773) 650-1230
Entity
Organization
Contact information
Practice address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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