Active NPI
Bernardo F Li MD Gardenia J Pajunar-Li MD LTD
- Primary Care Clinic/Center
- Chicago, IL
National Provider Identifier
1235407982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 036052771
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.