DR. STEVEN J DISANTI


Address: 109 South Genoa Street, Genoa Medical Clinic, Genoa, IL 60135
Phone: 8157845188

DR. STEVEN J DISANTI (NPI# 1578582474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578582474
Entity Type Individual
Full Name DR. STEVEN J DISANTI
Credential D.O.
Practice Address 109 South Genoa Street
Genoa Medical Clinic
Genoa
IL 60135
Mailing Address 3420 Spring Creek Rd
Rockford
IL 61107-1150
Practice Telephone 8157845188
Mailing Telephone 8152822945
Enumeration Date 2006-07-19
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice IL Allopathic & Osteopathic Physicians

Office Location

Street Address 109 SOUTH GENOA STREET
GENOA MEDICAL CLINIC
City GENOA
State IL
Zip Code 60135

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821697830 Mayuri Prashant Shende Student in an Organized Health Care Education/Training Program 2160 S. First Ave., Bldg. 105, Suite 2840a, Marywood, IL 60135 2020-10-21
1831368612 Northern Rehabilitation and Sports Medicine Associates Physical Therapist 540 E Main Street, Suite 5, Genoa, IL 60135 2008-02-26
1558828947 Victoria Elizabeth Deku Speech-Language Pathologist 123 W 1st St, Genoa, IL 60135-1016 2019-02-22
1134321698 Genoa Kingston Cusd 424 Local Education Agency (LEA) 941 W Main St, Genoa, IL 60135-1037 2007-06-05
1992256309 Angela Moore Nurse's Aide 519 W 2nd St, Genoa, IL 60135-1058 2016-10-20
1609887918 Martha Ann Moegling Chiropractor 112 N Emmett St Ste A, Genoa, IL 60135-1087 2006-08-11
1306858154 Natural Family Health S.c. Chiropractor 112 N Emmett St Ste A, Genoa, IL 60135-1087 2006-08-12
1013939602 Steven J. Disanti D.o. S.c. Family Medicine 109 S Genoa St, Genoa, IL 60135-1120 2006-07-24
1659511632 Sherie Anne Perdue Dentist 209 W Main St, Genoa, IL 60135-1145 2009-03-03
1003834326 Mark E Jacobs Chiropractor 405 W Main St, Genoa, IL 60135-1164 2006-07-17
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1598302077 Enhance Medical LLC General Practice 1193 N Gary Ave, Carol Stream, IL 60188-9423 2019-12-04
1164067054 League Corp. General Practice 515 N State St Fl 8, Chicago, IL 60654-9102 2019-11-14
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1205393972 Midwest Medical LLC General Practice 2001 Midwest Rd Ste Ll22, Oak Brook, IL 60523-1316 2019-02-28
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Competitor

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City GENOA
Zip Code 60135

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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