Individual
DR. BERNARDO FERNANDO LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11309 S MICHIGAN AVE, CHICAGO, IL 60628-4911
(773) 264-2020
(773) 264-7960
Mailing address
11309 S MICHIGAN AVE, CHICAGO, IL 60628-4911
(773) 264-2020
(773) 264-7960
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036-052771
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052771
—
IL
Enumeration date
12/27/2006
Last updated
02/07/2017
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