MAKENZIE DISERIO

DEKALB, IL
NPI1679146302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.009196)
Enumeration Date2021-07-20
Last Update Date2025-10-10
Business Address
MAKENZIE DISERIO
1212 S 2ND ST
DEKALB, IL 60115-4435
Phone number: 872-231-3162
Mailing Address
MAKENZIE DISERIO
PO BOX 74008272
CHICAGO, IL 60674-8272
Phone number: 702-899-0595
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