# ILLINOIS DENTAL PROFESSIONALS PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HEARTLAND DENTAL
- **Other names:** Dr. Jay Bergamini & Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689326175
- **Legal business name:** HEARTLAND DENTAL
- **Authorized official:** HILLARY THULL (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-8946

## Contact information

- **Practice address:** 405 S MAIN ST, NAPERVILLE, IL 60540-5322
- **Practice address phone:** (630) 357-7273
- **Mailing address:** 405 S MAIN ST, NAPERVILLE, IL 60540-5322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 01/25/2022