Individual
JEANETTE BERTAGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MANAGED CARE COORD.
Contact information
Practice address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3308
(708) 647-3361
Mailing address
1909 CHEKER SQ, EAST HAZEL CREST, IL 60429-1442
(708) 647-3308
(708) 647-3361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12231907
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04021942
SOUTH SUBURBAN COUNCIL
IL
01
—
12231907
SOUTH SUBURBAN COUNCIL
IL
Enumeration date
04/22/2016
Last updated
05/11/2026
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