Individual
TERESE M BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, FAHEY BLDG., ROOM 137, MAYWOOD, IL 60153-3328
(708) 216-0160
(708) 216-5285
Mailing address
2160 S 1ST AVE, FAHEY BLDG., ROOM 137, MAYWOOD, IL 60153-3328
(708) 216-0160
(708) 216-5285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-000449
IL
Other
Enumeration date
11/30/2006
Last updated
04/01/2021
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