Bernardo C Livas MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BERNARDO C LIVAS MD SC

Practice address

9462 Lawrence CT
Schiller Park, IL 60176-1552

Phone

(847) 845-4221

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Bernardo C Livas, M.D.

Title

President

Phone

(847) 845-4221

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679679450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 LAWRENCE CT",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761552",
            "telephone_number": "847-845-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9462 LAWRENCE CT",
            "city": "SCHILLER PARK",
            "state": "IL",
            "postal_code": "601761552",
            "telephone_number": "847-845-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARDO C LIVAS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIVAS",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-845-4221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031604441",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Schiller Park, IL
• Providers in Schiller Park, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.