Organization
SERENDESTINY ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA DIZON JAZMINES MD (PRESIDENT)
(630) 922-3922
Entity
Organization
Contact information
Practice address
3555 VANILLA GRASS DR, NAPERVILLE, IL 60564-8331
(630) 922-3922
(630) 922-3923
Mailing address
355 VANILLA GRASS DRIVE, NAPERVILLE, IL 60564-8331
(630) 922-3922
(630) 922-3923
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
036055400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055400
—
IL
Enumeration date
07/10/2008
Last updated
07/10/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us