# J.E.BERTOLINI ,M.D. SC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANTACARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477726610
- **Authorized official:** DR. JERRY E BERTOLINI M.D. (PRESIDENT)
- **Authorized official phone:** (815) 741-4104

## Contact information

- **Practice address:** 202 N HAMMES AVE, SUITE D, JOLIET, IL 60435-8129
- **Practice address phone:** (815) 741-4104
- **Practice address fax:** (815) 741-4135
- **Mailing address:** 202 N HAMMES AVE, SUITE D, JOLIET, IL 60435-8129
- **Mailing address phone:** (815) 741-4104
- **Mailing address fax:** (815) 741-4135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | NULL | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | — | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | NULL | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | NULL | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | — | — |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036057862 | — | IL |