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Contact Information

MICHAEL BERTUCCI
2701 N CLARK ST
CHICAGO, IL60614-1597
 Phone: 773-935-3762
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MICHAEL BERTUCCI · (Male)

NPI Number 1306004809
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2008
Last updated 10/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 046009720
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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