NPI | 1073617387 |
---|---|
Doing Business As | ALIVIO MEDICAL CENTER |
Entity Type | Organization |
Authorized Contact | ESTHER CORPUZ CEO 312-829-6304 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2006-09-08 |
Last Update Date | 2021-09-29 |