Individual
DR. MICHAEL BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2701 N CLARK ST, CHICAGO, IL 60614-1597
(773) 935-3762
Mailing address
2701 N CLARK ST, CHICAGO, IL 60614-1597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009720
IL
Other
Enumeration date
05/30/2008
Last updated
10/13/2011
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