ALFONSO S BARDALES M.D
NPI 1124075700
General Practice in Chicago, IL

Active since May 28, 2006
3339 W 55TH ST, CHICAGO, IL 60632(773) 471-3600 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alfonso S Bardales M.d NPPES

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

ALFONSO S BARDALES M.D (NPI 1124075700) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (036056659) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1124075700
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameALFONSO S BARDALESCredential: M.D
Location Address3339 W 55TH STChicago, IL 60632-3249
Mailing Address2551 N Milwaukee AveChicago, IL 60647-2629 · (773) 278-0724
Sole ProprietorYes
Enumeration DateMay 28, 2006
Last NPPES UpdateSeptember 10, 2014
NPI 1124075700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IL · 036056659
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

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 036056659 (IL)
3339 W 55TH ST, Chicago, IL 60632

Other Identifiers 2

Medicare UPINC45422IL
Other81260006IL · Ptan

Other Providers at the Same Location NPPES

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

Internal Medicine (Geriatric Medicine)
3339 W 55TH ST
CHICAGO, IL 60632

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 Alfonso Bardales's NPI number?

The NPI number for Alfonso Bardales is 1124075700. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Alfonso Bardales located?

Alfonso Bardales practices at 3339 W 55th St, Chicago, IL 60632. The listed phone number is (773) 471-3600.

What is Alfonso Bardales'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 Alfonso Bardales was last updated on September 10, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.