Individual
JERRY E BERTOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 N HAMMES, SUITE D, JOLIET, IL 60435-8136
(815) 741-4104
(815) 741-4135
Mailing address
202 N HAMMES, SUITE D, JOLIET, IL 60435-8136
(815) 741-4104
(815) 741-4135
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036057862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057862
—
IL
Enumeration date
09/12/2006
Last updated
10/16/2012
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