Diserio, Makenzie

Diserio, Makenzie is an sole proprietor health care provider with primary practice located at 14 Saint Germain Pl , Saint Charles IL 60175-4606. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Diserio, Makenzie can be contacted via phone (630) 962-7965.

Contact Information

Primary practice address
14 Saint Germain Pl Saint Charles IL 60175-4606
Phone: (630) 962-7965
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.009196 Illinois

Profile Details

NPI number 1679146302
LBN Legal business name Diserio, Makenzie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2021
Last updated Feb 22nd, 2024 - about 9 months 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.

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