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Alivio Medical Center, Inc.
Federally Qualified Health Center (FQHC) in Chicago, Illinois
NPI 1710096482

Alivio Medical Center, Inc. is a Federally Qualified Health Center (FQHC) based in Chicago, IL and is specialized in Federally Qualified Health Center (FQHC). Alivio Medical Center, Inc. practices in Chicago, IL. The NPI Number for Alivio Medical Center, Inc. is 1710096482 and holds a License No. (Illinois).

The current practice location address for Alivio Medical Center, Inc. is 2355 S. Western Ave., Chicago, IL and can be reached out via phone at 773-254-1400 and via fax at 312-829-6673.

Location: 2355 S. Western Ave., Chicago, IL, 60608-4511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710096482
Provider Name
Alivio Medical Center, Inc.
Credential
Provider Entity Type
Organization
Address
2355 S. Western Ave., Chicago, IL, 60608-4511
Phone Number
773-254-1400
Fax Number
312-829-6673
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1618612 01 IL BCBS
141854 01 IL TPAN NUMBER
institution
Provider Business Practice Location Address Details
Address
2355 S. Western Ave.
City
Chicago
State
Illinois
Zip
60608-3837
Phone Number
773-254-1400
Fax Number
312-829-6673
person
Provider Business Mailing Address Details
Address
2355 S. Western Ave.
City
Chicago
State
Illinois
Zip
60608-3837
Phone Number
773-254-1400
Fax Number
312-829-6673
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1138738 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
(Illinois)
Definition
Definition to come...
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