Dominique Erica Bertucci, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

019.034933 Issued in IL

Practice address

737 N Michigan Ave Ste 1330
Chicago, IL 60611-5401

Phone

(312) 266-8198

NPI assigned

Aug 1, 2022

Last updated

Apr 22, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1821725839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 S PARNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163517",
            "telephone_number": "312-607-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 1330",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115401",
            "telephone_number": "312-266-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTUCCI",
        "first_name": "DOMINIQUE",
        "middle_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019.034933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Bertram, CCC-SLP
• Lakiesha Robin Bertrand
• Marcel Bertsch-Gout, MD
• Elizabeth C Bertsch, M.D.
• Marco Bertucci Zoccali, MD
• Michael Bertucci
• Nicole Bertucci
• Susan Helene Bertuglia, MSW, LCSW
• Ellysse Bertus, FNP-BC
• Melanie Rae Berube, LCSW

• Pediatric Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.