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Active NPI 1124075700 Individual Practitioner Male Practitioner

Dr. Alfonso S Bardales , MD

General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Alfonso Bardales, MD is a registered healthcare professional specializing in General Practice in Chicago, IL. Practice services are available at 3339 W 55TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3339 W 55th St

Chicago, IL 606323249

Telephone 7734713600
Associated Practice Facility / Clinic
🏢 International Medical Associates,sc Facility NPI 1285754879

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.3 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
109 Specialists

Practicing in Chicago, IL (355 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036056659

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Obstetrics & Gynecology - Gynecology

NUCC Taxonomy Code: 207VG0400X

State License IL 036056659

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ptan
81260006 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Simeon Sevandal , MD

Internal Medicine - Geriatric Medicine

NPI 1528052735

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active September 10, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2014

Registered at 3339 W 55TH ST, CHICAGO, IL 606323249 (Tel: 7734713600)

📍
Updated Business Mailing Address September 10, 2014

Registered at 2551 N MILWAUKEE AVE, CHICAGO, IL 606472629 (Tel: 7732780724)

👤
Provider Name / Credentials Updated September 10, 2014

Recorded as ALFONSO BARDALES, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2014

Obstetrics & Gynecology (License #036056659 in IL)

🟢
Initial NPI Registration & Enumeration May 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124075700
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2006
Last Update: September 10, 2014
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2551 N Milwaukee Ave

Chicago, IL 606472629

Phone: 7732780724

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.