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1679146302
MAKENZIE DISERIO
DEKALB, IL
NPI
1679146302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.009196)
Enumeration Date
2021-07-20
Last Update Date
2025-10-10
Business Address
MAKENZIE DISERIO
1212 S 2ND ST
DEKALB, IL 60115-4435
Phone number: 872-231-3162
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Mailing Address
MAKENZIE DISERIO
PO BOX 74008272
CHICAGO, IL 60674-8272
Phone number: 702-899-0595
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