IndividualActive
Alfonso Bardales, M.D
NPI 1124075700 · General Practice Physician · Chicago, IL
Provider details
- NPI number
- 1124075700
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036056659 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3339 W 55th St
Chicago, IL 60632-3249
Phone: (773) 471-3600
Street-level locationGet directions
Mailing address
2551 N Milwaukee Ave
Chicago, IL 60647-2629
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2014-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.