Individual
DR. STEVEN J DISANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
109 SOUTH GENOA STREET, GENOA MEDICAL CLINIC, GENOA, IL 60135
(815) 784-5188
Mailing address
6550 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4424
(815) 633-4100
(815) 633-5141
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036067911
IL
Other
Enumeration date
07/19/2006
Last updated
01/16/2024
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