Dr Bernardo Fernando Li, MD | |
11309 S Michigan Ave, Chicago, IL 60628-4911 | |
(773) 264-2020 | |
(773) 264-7960 |
Full Name | Dr Bernardo Fernando Li |
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Gender | Male |
Speciality | General Practice |
Location | 11309 S Michigan Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083779300 | NPI | - | NPPES |
036052771 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 036-052771 (Illinois) | Primary |
Entity Name | Tele Medicine Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598210718 PECOS PAC ID: 9830470772 Enrollment ID: O20170109000037 |
Mailing Address | Practice Location Address |
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Dr Bernardo Fernando Li, MD 11309 S Michigan Ave, Chicago, IL 60628-4911 Ph: (773) 264-2020 | Dr Bernardo Fernando Li, MD 11309 S Michigan Ave, Chicago, IL 60628-4911 Ph: (773) 264-2020 |
Rita Zafra, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 2004 N Pulaski Rd, Chicago, IL 60639 Phone: 773-772-8876 | |
Dr. Esmeraldo E Cordova, MD General Practice Medicare: Medicare Enrolled Practice Location: 3625 W Roosevelt Rd, Chicago, IL 60624 Phone: 773-522-0110 Fax: 630-964-8397 | |
Dr. Joseph Frank Michalski, MD, MPH, MS General Practice Medicare: Medicare Enrolled Practice Location: 820 S Wood St, Chicago, IL 60612 Phone: 516-497-1888 | |
John Aversa, MD General Practice Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 888-352-7874 | |
Dr. Claudia Rodriguez, MD General Practice Medicare: Medicare Enrolled Practice Location: 2003 W Fulton St, Chicago, IL 60612 Phone: 312-243-2223 | |
Dr. Mustafa Alam, MD General Practice Medicare: Medicare Enrolled Practice Location: 820 S Wood St Ste 100, Chicago, IL 60612 Phone: 312-996-2933 | |
Ivory S Rodriguez, APRN General Practice Medicare: Not Enrolled in Medicare Practice Location: 3105 N Nordica Ave, Chicago, IL 60634 Phone: 312-459-3875 |