Disanto, Kerry
Disanto, Kerry is an individual health care provider with primary practice located at 908 N Elm St Ste 110, Hinsdale IL 60521-3635. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Disanto, Kerry can be contacted via phone (630) 986-8770.Contact Information
Primary practice address
908 N Elm St Ste 110
Hinsdale IL 60521-3635
Phone: (630) 986-8770
Fax: (630) 986-8776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-088886 | Illinois |
Profile Details
| NPI number | 1386640878 |
|---|---|
| LBN Legal business name | Disanto, Kerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Aug 24th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386640878 | NPPES |
| Illinois | MEDICAID | 036-088886 |
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