Individual
BERNARDINO GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5101 S KILDARE AVE, CHICAGO, IL 60632-4608
(773) 735-5600
(773) 735-9489
Mailing address
5101 S KILDARE AVE, CHICAGO, IL 60632-4608
(773) 735-5600
(773) 767-8320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036084872
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084872
—
IL
01
—
080180996
RAILROAD MEDICARE
IL
01
—
1632097
BLUE SHIELD
IL
Enumeration date
09/22/2005
Last updated
05/25/2021
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