Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Alivio Medical Center-Juarez High School

Organization Family Medicine Physician · NPI 1417341249

Alivio Medical Center-Juarez High School provides Family Medicine Physician services 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 Not confirmed with CMS for 11 years — call before visiting
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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