Organization
CENTER FOR MEDICAL SERVICES LLC
Active
Other names
ALFONSO S BARDALES MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFONSO S BARDALES M.D. (PRESIDENT)
(847) 208-2282
Entity
Organization
Contact information
Practice address
3240 W FRANKLIN BLVD, CHICAGO, IL 60624-1511
(773) 722-3020
Mailing address
555 W MADISON ST, UNIT 901, CHICAGO, IL 60661-2514
(847) 208-2282
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036-056659
IL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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