ALIVIO MEDICAL CENTER INC – NPI #1255646857
Clinic/Center

ALIVIO MEDICAL CENTER INC is an AHC clinic located in BERWYN, IL. NPPES has assigned the NPI number 1255646857 to ALIVIO MEDICAL CENTER INC on August 09, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Apr 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALIVIO MEDICAL CENTER INC below.

NPI Profile for
ALIVIO MEDICAL CENTER INC

NPI Number
1255646857
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ALIVIO MEDICAL CENTER INC
Primary location
6447 CERMAK RD
BERWYN, IL 60402-2311
Phone: (773) 254-1400 Fax: (708) 484-5413
Mailing address
966 W 21ST ST
CHICAGO, IL 60608-4511
Phone: (773) 254-1400 Fax: (312) 829-6375
Organization Subpart
No
Authorized Official
ANKIT PATEL
CFO
Phone: (312) 312-2719
Updated
Certification Date
Apr 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ALIVIO MEDICAL CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherBCBS0001618612
otherMEDICARE TPANIL920890
otherMEDICARE TPAN NUMBERIL141854
otherMEDICARE TPAN NUMBERIL141077
medicaidIL036113015 3
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.