Makenzie Diserio
Makenzie Diserio is a Physician Assistant in Dekalb, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
1212 S 2nd StDekalb, IL 60115-4435
Phone: (872) 231-3162
Fax: (702) 977-1496
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085.009196 (IL) |
|---|
Record details
| NPI number | 1679146302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2021 |
| Last updated in NPPES | October 10, 2025 |
| Certification date | October 10, 2025 |
| Mailing address | Po Box 74008272, Chicago, IL 60674-8272 |
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