Organization
J.E. BERTOLINI MD, S.C.
Active
Parent organization
J.E. BERTOLINI MD, S.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
J.E. BERTOLINI MD, S.C.
Authorized official
JERRY BERTOLINI MD (PRESIDENT)
(815) 741-4104
Entity
Organization
Contact information
Practice address
202 N HAMMES AVE, SUITE D, JOLIET, IL 60435-8129
(815) 741-4104
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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