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CH05662K ALIVIO MEDICAL CENTER, INC (Active)
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Main Details
Name
ALIVIO MEDICAL CENTER, INC
Subdivision Name
Alivio Medical Center at Berwyn
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013072
340B ID
CH05662K
Grant Number
H80CS00116
Additional Details
Current Program Status
Active
Registration Date
4/13/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/1/2015
Last Recertification Date
2/26/2025
Contacts
Authorizing Official
Alivio Medical Center
ESTHER CORPUZ, CHIEF EXECUTIVE OFFICER
(312) 829-6304
Primary Contact
Alivio Medical Center
Ankit Prakash Patel, CFO
(312) 312-2719
Addresses
Street Address
6447 Cermak Rd
Berwyn, IL 60402-2311
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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