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Makenzie Diserio
Physician Assistant in Saint Charles, Illinois
NPI 1679146302

Makenzie Diserio is a Physician Assistant based in Oswego, IL. Makenzie Diserio practices in Saint Charles, IL. The NPI Number for Makenzie Diserio is 1679146302 and holds a License No. (Illinois).

The current practice location address for Makenzie Diserio is 14 Saint Germain Pl, Saint Charles, IL and can be reached out via phone at 630-962-7965.

Location: 14 Saint Germain Pl, Saint Charles, IL, 60543-8011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679146302
Provider Name
Makenzie Diserio
Credential
Provider Entity Type
Individual
Gender
Female
Address
14 Saint Germain Pl, Saint Charles, IL, 60543-8011
Phone Number
630-962-7965
Fax Number
Provider Enumeration Date
07/20/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
14 Saint Germain Pl
City
Saint Charles
State
Illinois
Zip
60175-4606
Phone Number
630-962-7965
Fax Number
person
Provider Business Mailing Address Details
Address
14 Saint Germain Pl
City
Saint Charles
State
Illinois
Zip
60175-4606
Phone Number
630-962-7965
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085.009196 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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