| Alivio Medical Center | |
|
966 W. 21st Street Chicago IL 60608-4511 | |
| (773) 254-1400 | |
| (312) 829-6842 |
| Full Name | Alivio Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 966 W. 21st Street, Chicago, Illinois |
| Authorized Official Name and Position | Esther Corpuz (CEO) |
| Authorized Official Contact | 3128296304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alivio Medical Center 966 W. 21st Street Chicago IL 60608-4511 Ph: (773) 254-1400 | Alivio Medical Center 966 W. 21st Street Chicago IL 60608-4511 Ph: (773) 254-1400 |
| NPI Number | 1073617387 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 09/29/2021 |
| Medicare PECOS PAC ID | 5698840924 |
|---|---|
| Medicare Enrollment ID | O20080820000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073617387 | NPI | - | NPPES |
| 0001618612 | Other | IL | BCBS |
| 920890 | Other | IL | MEDICARE PART B GROUP NUMBER |
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