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Dr. Steven J Disanti, DO
General Practice Physician in Genoa, Illinois
NPI 1578582474

Steven J Disanti is a General Practice Physician based in Loves Park, IL. Steven J Disanti practices in Genoa, IL and has the professional credentials of DO. The NPI Number for Steven J Disanti is 1578582474 and holds a License No. 036067911 (Illinois).

The current practice location address for Steven J Disanti is 109 South Genoa Street, Genoa, IL and can be reached out via phone at 815-784-5188.

Location: 109 South Genoa Street, Genoa, IL, 61111-4424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578582474
Provider Name
Steven J Disanti
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
109 South Genoa Street, Genoa, IL, 61111-4424
Phone Number
815-784-5188
Fax Number
Provider Enumeration Date
07/19/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
109 South Genoa Street
City
Genoa
State
Illinois
Zip
60135
Phone Number
815-784-5188
Fax Number
person
Provider Business Mailing Address Details
Address
109 South Genoa Street
City
Genoa
State
Illinois
Zip
60135
Phone Number
815-784-5188
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
036067911 (Illinois)
Definition
Definition to come...
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