Alfonso S Bardales, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036056659 Issued in IL

Practice address

3339 W 55TH St
Chicago, IL 60632-3249

Phone

(773) 471-3600

NPI assigned

May 28, 2006

Sex

Male

Sole proprietor

Yes

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2014.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1124075700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472629",
            "telephone_number": "773-278-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606323249",
            "telephone_number": "773-471-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDALES",
        "first_name": "ALFONSO",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036056659",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": "036056659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "81260006",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Henoch Barch
• Rebecca Leigh Barchfeld, CRNA
• Holly Ann Barczak, LCPC
• Tomasz Roman Barczyk
• Andrea Bardac
• Patricia A. Bardenett, L.C.S.W.
• Cristina Bardita, MD, PHD
• Anne Bardo
• Nicole Bardoczi, CRNA
• Bare Conversations, PLLC

• All providers in Chicago, IL
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.