Organization Active NPI

Bernardo F Li MD Gardenia J Pajunar-Li MD LTD

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1235407982
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036052771 Issued in IL
Legal business name
BERNARDO F LI MD GARDENIA J PAJUNAR-LI MD LTD
Practice address
11309 S Michigan Ave
Chicago, IL 60628-4911
Phone
(773) 264-2020
Fax
(773) 264-7960
NPI assigned
Dec 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bernardo Li, M.D.
Title
President
Phone
(773) 264-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036052771 IL Primary

Addresses

Primary practice location

11309 S Michigan Ave
Chicago, IL 60628-4911

Mailing address

11309 S Michigan Ave
Chicago, IL 60628-4911
Phone (773) 264-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1235407982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11309 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284911",
            "telephone_number": "773-264-2020",
            "fax_number": "773-264-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11309 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284911",
            "telephone_number": "773-264-2020",
            "fax_number": "773-264-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDO F LI MD GARDENIA J PAJUNAR-LI MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-264-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036052771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.