Steven J Disanti (NPI# 1578582474, PAC ID# 6305813619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1578582474 |
PAC ID by PECOS | 6305813619 |
Professional Enrollment ID | I20080218000592 |
Full Name | Steven J Disanti |
Address |
109 S Genoa St Genoa IL 60135-1120 |
Gender | M |
Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1982 |
Primary Specialty | GENERAL PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140233 | OSF SAINT ANTHONY MEDICAL CENTER |
140228 | SWEDISH AMERICAN HOSPITAL |
Address | Phone | Organization |
---|---|---|
109 S Genoa St, Genoa, IL 60135-1120 | ||
6550 E Riverside Blvd, Loves Park, IL 61111-4424 |
Street Address |
109 S GENOA ST |
City | GENOA |
State | IL |
Zip | 60135-1120 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mark Jacobs | Chiropractic | 405 W Main St, Genoa, IL 60135-1164 | |
Hilda M Hattar | Chiropractic | 815 E Main St, Genoa, IL 60135-1313 | |
Karen M Federici | Family Medicine | 599 Pearson Dr, Genoa, IL 60135-1355 | |
Jeffrey T Caron | Optometry | 318 W Main St, Suite 2, Genoa, IL 60135-5402 |
City | GENOA |
Zip Code | 60135 |
Specialty | GENERAL PRACTICE |
City + Specialty | GENOA + GENERAL PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.