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CH05662L ALIVIO MEDICAL CENTER, INC (Active)
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Main Details
Name
ALIVIO MEDICAL CENTER, INC
Subdivision Name
Alivio's Walk In Wellness Center at Berwyn
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021110
340B ID
CH05662L
Grant Number
H80CS00116
Additional Details
Current Program Status
Active
Registration Date
10/13/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/2/2022
Last Recertification Date
2/28/2025
Contacts
Authorizing Official
Alivio Medical Center
Ankit Prakash Patel, CFO
(312) 312-2719
Primary Contact
Alivio Medical Center
ESTHER CORPUZ, CHIEF EXECUTIVE OFFICER
(312) 829-6304
Addresses
Street Address
6447 West Cermak Road, Suite 100
Berwyn, IL 60402
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
April 2025
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