Organization
J.E.BERTOLINI ,M.D. SC.
Active
Other names
ADVANTACARE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY E BERTOLINI M.D. (PRESIDENT)
(815) 741-4104
Entity
Organization
Contact information
Practice address
202 N HAMMES AVE, SUITE D, JOLIET, IL 60435-8129
(815) 741-4104
(815) 741-4135
Mailing address
202 N HAMMES AVE, SUITE D, JOLIET, IL 60435-8129
(815) 741-4104
(815) 741-4135
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057862
—
IL
Enumeration date
04/09/2008
Last updated
11/13/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up