Organization
ALIVIO MEDICAL CENTER, INC.
Active
Other names
Alivio Medical Center Dental at Westlawn
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT PATEL (CFO)
(312) 312-2719
Entity
Organization
Contact information
Practice address
4255 W 63RD ST, CHICAGO, IL 60629-5041
(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
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/22/2026
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