Individual
DR. GREGORY AMADEO BERTAGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8383 BELMONT AVE, SUITE 200, RIVER GROVE, IL 60171-1000
(708) 453-1110
(708) 452-0157
Mailing address
8225 GRAND AVE, SUITE 200, RIVER GROVE, IL 60171-1517
(708) 453-1110
(708) 452-0157
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017754
IL
Other
Enumeration date
08/02/2006
Last updated
03/31/2016
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