Alivio Medical Center @ Little Village/Lawndale High School
LBN: Alivio Medical Center, Inc
Alivio Medical Center @ Little Village/Lawndale High School is an health care organization with primary practice located at 3120 S Kostner Ave , Chicago IL 60623-4842. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Student Health is the primary health care specialty.
Alivio Medical Center, Inc can be contacted via phone (312) 829-6327, or through Corpuz, Esther via phone (312) 829-6304.
Contact Information
Primary practice address
3120 S Kostner Ave
Chicago IL 60623-4842
Phone: (312) 829-6327
Fax: (312) 829-6375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
| Ambulatory Health Care Facilities / Student Health | 261QS1000X |
Profile Details
| NPI number | 1427369693 |
|---|---|
| LBN Legal business name | Alivio Medical Center, Inc |
| DBA Doing business as | Alivio Medical Center @ Little Village/Lawndale High School |
| Authorized official | Corpuz, Esther |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| Last updated | Feb 26th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427369693 | NPPES |
| Illinois | Other | 0001618612 | BCBS |
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