| NPI | 1225243405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO FRANCIS BERTAGNI Dr 847-991-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.01.2666) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |