ALIVIO MEDICAL CENTER – NPI #1306070784
Clinic/Center

ALIVIO MEDICAL CENTER is an AHC clinic located in CHICAGO, IL. NPPES has assigned the NPI number 1306070784 to ALIVIO MEDICAL CENTER on May 13, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 previously updated about 12 years ago on Aug 19, 2014. 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 below.

NPI Profile for
ALIVIO MEDICAL CENTER

NPI Number
1306070784
Enumeration Date

(more than 17 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
Primary location
966 W 21ST ST
CHICAGO, IL 60608-4511
Phone: (773) 254-1400 Fax: (312) 829-6673
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ESTHER CORPUZ
CEO
Phone: (312) 829-6304
Updated
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)		 IL 1138738
261Q00000X
- Clinic/Center		 IL 1138738

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.