Alivio Medical Center At Benito Juarez Community Academy

LBN: Alivio Medical Center, Inc.
Alivio Medical Center At Benito Juarez Community Academy is an health care organization with primary practice located at 1450-1510 W. Cermak Road , Chicago IL 60608. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Alivio Medical Center, Inc. can be contacted via phone (773) 254-1400, or through Wright, Karla Renee via phone (773) 650-1230.

Contact Information

Primary practice address
1450-1510 W. Cermak Road Chicago IL 60608
Phone: (773) 254-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, Karla Renee
Phone: (773) 650-1230

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Illinois

Profile Details

NPI number 1861972655
LBN Legal business name Alivio Medical Center, Inc.
DBA Doing business as Alivio Medical Center At Benito Juarez Community Academy
Authorized official Wright, Karla Renee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 21st, 2018
Last updated Aug 21st, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861972655 NPPES
Illinois MEDICAID PENDING

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