NPI Profile for JEANETTE BERTAGNOLI in EAST HAZEL CREST, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1205280633 |
|
| Status | Active | |
| Credentials | MANAGED CARE COORD. | |
| Entity | Individual | |
| Enumeration date | 04/22/2016 | |
| Last updated | 05/11/2026 - About a month ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JEANETTE BERTAGNOLI
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