Serendestiny Enterprise Llc

LBN: Serendestiny Enterprise Llc
Serendestiny Enterprise Llc is an health care organization with primary practice located at 3555 Vanilla Grass Dr , Naperville IL 60564-8331. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as the primary health care specialty. Serendestiny Enterprise Llc can be contacted via phone (630) 922-3922, or through Jazmines, Lydia Dizon via phone (630) 922-3922.

Contact Information

Primary practice address
3555 Vanilla Grass Dr Naperville IL 60564-8331
Phone: (630) 922-3922
Fax: (630) 922-3923
Website:
Map and Directions
Authorized official contact:
Name: Jazmines, Lydia Dizon Doctor of Medicine (MD)
Phone: (630) 922-3922

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 036055400 Illinois

Profile Details

NPI number 1043474893
LBN Legal business name Serendestiny Enterprise Llc
DBA Doing business as
Authorized official Jazmines, Lydia Dizon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2008
Last updated Jul 10th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043474893 NPPES
Illinois MEDICAID 036055400

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