Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alivio Medical Center-Juarez High School

Organization Family Medicine Physician · NPI 1417341249

Alivio Medical Center-Juarez High School is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
Specialties on file
3

Practice location Address checks out

1450 W Cermak Rd
Chicago, IL 60608-4408
Phone: (773) 254-1400
Fax: (312) 733-3563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 771115088 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 771115088 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 771115008 (IL)

Record details

NPI number1417341249
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Esther Corpuz — Chief Executive Officer · (312) 829-6304
NPI enumeratedMarch 18, 2015
Last updated in NPPESMarch 18, 2015
Mailing address2355 S Western Ave, Chicago, IL 60608-3837

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