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DR. BERNARDO FERNANDO LI M.D.
NPI 1083779300
General Practice in Chicago, IL

Active since December 27, 2006
11309 S MICHIGAN AVE, CHICAGO, IL 60628(773) 264-2020(773) 264-7960 Get Directions Write a Review

NPPES record last updated: February 7, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bernardo Fernando Li M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BERNARDO FERNANDO LI M.D. (NPI 1083779300) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036-052771) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1083779300
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BERNARDO FERNANDO LICredential: M.D.
Location Address11309 S MICHIGAN AVEChicago, IL 60628-4911
Mailing Address11309 S Michigan AveChicago, IL 60628-4911 · (773) 264-2020 · Fax (773) 264-7960
Phone(773) 264-2020
Fax(773) 264-7960
Sole ProprietorNo
Enumeration DateDecember 27, 2006
Last NPPES UpdateFebruary 7, 2017
✔ NPI 1083779300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036-052771
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11309 S MICHIGAN AVE, Chicago, IL 60628
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Other Identifiers 2

Medicare UPIN485430IL
Medicaid036052771IL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JAYANT S SHAH RPH
Pharmacist
11309 S MICHIGAN AVE
CHICAGO, IL 60628
Cook County (773) 264-1111
BERNARDO F LI MD GARDENIA J PAJUNAR-LI MD LTD
Clinic/Center (Primary Care)
11309 S MICHIGAN AVE
CHICAGO, IL 60628
Cook County (773) 264-2020
MR. ILESH J SHAH RPH
Pharmacist
11309 S MICHIGAN AVE
CHICAGO, IL 60628
Cook County (773) 264-1111
AMBIKA PHARMACY, INC.
Pharmacy
11309 S MICHIGAN AVE
CHICAGO, IL 60628
Cook County (773) 264-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernardo Li's NPI number?

The NPI number for Bernardo Li is 1083779300. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Bernardo Li located?

Bernardo Li practices at 11309 S Michigan Ave, Chicago, IL 60628. The listed phone number is (773) 264-2020.

What is Bernardo Li's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bernardo Li was last updated on February 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.