Provider Demographics
NPI:1225243405
Name:DR. HUGO F. BERTAGNI DDS
Entity Type:Organization
Organization Name:DR. HUGO F. BERTAGNI DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BERTAGNI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-991-2680
Mailing Address - Street 1:600 N NORTH CT
Mailing Address - Street 2:SUITE 140
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-8155
Mailing Address - Country:US
Mailing Address - Phone:847-991-2680
Mailing Address - Fax:847-991-2771
Practice Address - Street 1:600 N NORTH CT
Practice Address - Street 2:SUITE 140
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-8155
Practice Address - Country:US
Practice Address - Phone:847-991-2680
Practice Address - Fax:847-991-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty