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Organization

ALIVIO MEDICAL CENTER, INC.

Active
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
174H00000X
Health Educator
Primary
261QF0400X
Federally Qualified Health Center (FQHC)

Other

Enumeration date
09/18/2023
Last updated
09/18/2023
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