Individual provider · Type 1 NPI

Alfonso S. Bardales, MD

General Practice Physician · Chicago, IL

NPI number 1124075700 Active

Practice location

3339 W 55th St
Chicago, IL 60632-3249

Call (773) 471-3600 Map

Mailing address

2551 N Milwaukee Ave
Chicago, IL 60647-2629

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X036056659 (IL)
Gynecology Physician 207VG0400X036056659 (IL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1124075700

Alfonso S. Bardales, MD's National Provider Identifier is 1124075700, issued on May 28, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 10, 2014.