OrganizationActive
Alivio Medical Center, Inc.
NPI 1245992767 · Federally Qualified Health Center (FQHC) · Chicago, IL
Provider details
- NPI number
- 1245992767
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Esther Corpuz, Chief Executive Officer(312) 829-6304
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Educator174H00000X
Other Service Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Practice location
966 W 21st St
Chicago, IL 60608-4511
Phone: (773) 254-1400
Approximate (ZIP-level) locationGet directions
Mailing address
966 W 21st St
Chicago, IL 60608-4511
Additional practice locations (1)
- 2355 S Western AveChicago, IL 60608-3837Phone: (773) 254-1400
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2021-12-03
- Certified
- 2021-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.