Active NPI
Vincent Bertolini, DC
- Chiropractor
- Orland Park, IL
National Provider Identifier
1316304538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33975
- Practice address
- 13500 Circle Dr Ste 102
Orland Park, IL 60462-1343 - Phone
- (708) 349-0040
- NPI assigned
- Jan 19, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33975 | CA | Primary |
Addresses
Primary practice location
13500 Circle Dr Ste 102
Orland Park, IL 60462-1343
Mailing address
5055 N Harbor Dr Ste 100
San Diego, CA 92106-2302
Phone (619) 523-9355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33975 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health From Within, SC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Mokena, IL
- NPI 1912977414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1316304538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 N HARBOR DR STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921062302",
"telephone_number": "619-523-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13500 CIRCLE DR STE 102",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604621343",
"telephone_number": "708-349-0040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTOLINI",
"first_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-19",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.