CENTER FOR MEDICAL SERVICES LLC (NPI# 1952734329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952734329 |
| Entity Type | Organization |
| Organization Name | CENTER FOR MEDICAL SERVICES LLC |
| Other Organization Name | ALFONSO S BARDALES MD |
| Practice Address |
3240 W Franklin Blvd Chicago IL 60624-1511 |
| Mailing Address |
555 W Madison St Unit 901 Chicago IL 60661-2514 |
| Practice Telephone | 7737223020 |
| Mailing Telephone | 8472082282 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | DR. ALFONSO S BARDALES (PRESIDENT) |
| Authorized Official Telephone | 8472082282 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 036-056659 | IL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ALFONSO S BARDALES MD | Other Name - Individual/Organization |
| Street Address |
3240 W FRANKLIN BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60624-1511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477543692 | Ramon Mella | Family Medicine | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2005-10-27 |
| 1720424666 | Milagros Estrella Calizo | Pharmacist | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2013-05-19 |
| 1760730063 | Sacred Heart Hospital | General Acute Care Hospital | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2012-08-17 |
| 1003163122 | Sacred Heart Hospital | General Acute Care Hospital | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2012-08-08 |
| 1023388931 | Diana M Covelli | Podiatrist | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2012-01-09 |
| 1932373669 | Chen Medical Center LLC | Family Medicine | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2008-04-14 |
| 1174686588 | Angelo N Stamos | Dentist | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2006-12-18 |
| 1073627550 | Westside Community Hospital | Anesthesiology | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2006-08-19 |
| 1306959697 | Westside Community Hospital | Emergency Medicine | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2006-08-17 |
| 1487636437 | Rodolfo Uy | Emergency Medicine | 3240 W Franklin Blvd, Chicago, IL 60624-1511 | 2005-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071932 | Euginia Ivanova | Counselor | 3410 W. Roosevelt Rd, Chicago, IL 60624 | 2020-10-19 |
| 1629619572 | Denise R Bean | Technician | 3322 West Polk St, Chicago, IL 60624 | 2019-10-02 |
| 1033693742 | Ahmed Hussain Memon | Nurse Practitioner | 3800 West Madison, Chicago, IL 60624 | 2018-09-18 |
| 1487104006 | Jeffrey Blythe | Social Worker | 3605 W. Fillmore Street, Ucan, Chicago, IL 60624 | 2016-10-06 |
| 1366992216 | Brian Macwilliams | Social Worker | 3605 W. Fillmore St, Chicago, IL 60624 | 2016-10-04 |
| 1982151510 | Darryl Lamont Clayton | Counselor | 3605 W. Fillmore, Chicago, IL 60624 | 2016-09-01 |
| 1821487646 | Total Enrichment Services Inc. | Counselor | 3335 W Washington Blvd, Chicago, IL 60624 | 2015-01-16 |
| 1295038818 | Raad N Rashan M D S C | Internal Medicine | 3743 W Chicago Ave, Chicago, IL 60624 | 2010-12-21 |
| 1194044453 | Theresa Roberts | Speech-Language Pathologist | 3240 W. Franklin Blvd, Chicago, IL 60624 | 2010-05-26 |
| 1154570208 | Ht Outpatient Pharmacy | Pharmacy | 3435 W Vanburen St, Chicago, IL 60624 | 2008-09-13 |
| Find all providers in zip 60624 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1952809451 | Josie M Abogast | General Practice | 3219 N. Clark St., Chicago, IL 60657 | 2018-01-30 |
| 1043759939 | Royalty Intervention Group Inc | General Practice | 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 | 2017-02-13 |
| 1215482567 | David John De Jong | General Practice | 226 W Willow St, Chicago, IL 60614-5716 | 2016-08-16 |
| 1720474885 | Healthwise Medical Clinic LLC | General Practice | 8349 S Baltimore Ave, Chicago, IL 60617-2110 | 2015-04-15 |
| 1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
| 1548662851 | Healthjoy | General Practice | 208 W Huron St, Chicago, IL 60654-3913 | 2014-09-17 |
| 1629478359 | Alivio Medical Center | General Practice | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2014-08-29 |
| 1699193409 | Kenya R Thomas | General Practice | 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 | 2014-03-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.