| Organization Name: | ALIVIO MEDICAL CENTER |
| NPI Number: | 1629478359 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ESTHER CORPUZ (C.E.O) |
| Mailing Address: | 1450-1510 W. Cermak Road Chicago |
| State: | IL US |
| Postal Code: | 60608 |
| Phone Number: | 7732541400 |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2014 |
| NPI Last Update Date: | 12/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |