Organization
GARCIA LIFE PARTNERS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADINO GARCIA M.D. (PRESIDENT)
(773) 735-5600
Entity
Organization
Contact information
Practice address
5101 S KILDARE AVE, CHICAGO, IL 60632-4608
(773) 735-5600
(773) 735-9489
Mailing address
7937 S HARLEM AVE STE 278, BURBANK, IL 60459-1600
(773) 884-4523
(773) 884-4580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632097
BLUE SHIELD
IL
Enumeration date
07/16/2006
Last updated
04/18/2023
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