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NPI Code Detail

MEDICARE: ALIVIO MEDICAL CENTER, INC.

MEDICARE: ALIVIO MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center
2261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1831770825
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALIVIO MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 966 W 21ST ST
Second Line :
City : CHICAGO
State : IL
Zip : 60608-4511
Country : US
Telephone Number : 773-254-1400
Fax Number : 312-829-6842
Provider Business Practice Location Address
First Line : 4255 W 63RD ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-5041
Country : US
Telephone Number : 773-254-1400
Fax Number :
Authorized Official
Title or Position : CFO
Name : ANKIT PATEL
Credential :
Telephone Number : 312-312-2719
Provider Enumeration Date : 04/20/2021
Last Update Date : 04/22/2026

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Directions to “ALIVIO MEDICAL CENTER, INC. ” Practice Location

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