NPI | 1952734329 |
---|---|
Other Name | ALFONSO S BARDALES MD |
Entity Type | Organization |
Authorized Contact | ALFONSO S BARDALES President 847-208-2282 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: IL 036-056659) |
Enumeration Date | 2013-08-20 |
Last Update Date | 2013-08-20 |