Alivio Medical Center-Juarez High School

LBN: Alivio Medical Center-Juarez High School
Alivio Medical Center-Juarez High School is an health care organization with primary practice located at 1450 W Cermak Rd , Chicago IL 60608-4408. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Alivio Medical Center-Juarez High School can be contacted via phone (773) 254-1400, or through Corpuz, Esther via phone (312) 829-6304.

Contact Information

Primary practice address
1450 W Cermak Rd Chicago IL 60608-4408
Phone: (773) 254-1400
Fax: (312) 733-3563
Website:
Map and Directions
Authorized official contact:
Name: Corpuz, Esther C.E.O.
Phone: (312) 829-6304

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 771115088 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 771115008 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 771115088 Illinois

Profile Details

NPI number 1417341249
LBN Legal business name Alivio Medical Center-Juarez High School
DBA Doing business as
Authorized official Corpuz, Esther C.E.O.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2015
Last updated Mar 18th, 2015 - about 9 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 1417341249 NPPES
Illinois MEDICAID PENDING

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