Jerry E Bertolini, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036057862 Issued in IL

Practice address

202 N Hammes
Suite D
Joliet, IL 60435-8136

Phone

(815) 741-4104

Fax

(815) 741-4135

NPI assigned

Sep 12, 2006

Last updated

Oct 16, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J.E. Bertolini MD, S.C.

  • Non-Pharmacy Dispensing Site
  • Joliet, IL
  • NPI 1245513076
  NPD (past) Authorized official
• J.E.Bertolini ,M.D. SC.

  dba Advantacare

  • Orthopaedic Surgery Physician
  • Joliet, IL
  • NPI 1477726610
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1407950116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N HAMMES",
            "address_2": "SUITE D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358136",
            "telephone_number": "815-741-4104",
            "fax_number": "815-741-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N HAMMES",
            "address_2": "SUITE D",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358136",
            "telephone_number": "815-741-4104",
            "fax_number": "815-741-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINI",
        "first_name": "JERRY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036057862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057862",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher D. Berg, DO
• Lorissa Bergman, MOT, OTR/L
• Jamie Bernabei
• Lori Bernard, RPH
• Holly Berry Wesley, M.S. ED.
• Best RX, Inc. (Best Rx & DME - 4)
• Best RX, Inc. (Best Rx & DME - 1)
• Best RX, Inc.
• Best RX, Inc. (Best Rx & DME-2)
• Best RX, Inc.

• Orthopaedic Surgery Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.