NPI | 1831770825 |
---|---|
Doing Business As | ALIVIO MEDICAL CENTER DENTAL AT WESTLAWN |
Entity Type | Organization |
Authorized Contact | ESTHER CORPUZ Chief Executive Officer 312-829-6304 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-04-20 |
Last Update Date | 2021-06-14 |